A radiological and clinical description of metastatic angiosarcoma simulating a hydatid cyst

Blair Ortiz, Carolina Hernández, Norma Carolina Barajas, .

Keywords: hemangiosarcoma, echinococcosis, seizures, intracranial hypertension

Abstract

Angiosarcoma is the most malignant sarcoma originating in endothelial vascular cells. It has a wide differential diagnosis due to its similarities with other entities, such as parasitic diseases. More often, angiosarcoma is diagnosed by exclusion. Neurocysticercosis and hydatid disease, or echinococcosis, are parasitic infections that may involve the central nervous system and their incidence is higher in South American countries.
Diagnosis is established based on the epidemiological profile, the parasitological examination, the radiological appearance of the lesions, and the histopathology analysis of specimens.
We present the case of a female adolescent with parasitosis risk factors whose neuroimages suggested cerebral hydatid cysts and who was finally diagnosed with cardiac metastatic angiosarcoma.

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  • Blair Ortiz Grupo de Neurología Infantil, Universidad de Antioquia; Hospital San Vicente Fundación, Medellín, Colombia
  • Carolina Hernández Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
  • Norma Carolina Barajas Grupo de Neurología Infantil, Universidad de Antioquia; Hospital San Vicente Fundación, Medellín, Colombia

References

White AC Jr. Neurocysticercosis: Updates on epidemiology, pathogenesis, diagnosis, and management. Annu Rev Med. 2000;51:187-206. https://doi.org/10.1146/annurev.med.51.1.187

Del Brutto OH. Neurocysticercosis. Handb Clin Neurol. 2014;121:1445-59. https://doi.org/10.1177/1941874414533351

Montero Y, Rojas R. Estudio retrospectivo de la seroprevalencia de neurocisticercosis en Colombia. 2006. Fecha de consulta: 6 de enero de 2019. Disponible en: http://www.javeriana.edu.co/biblos/tesis/ciencias/tesis170.pdf

Carpio A, Agnes F, Romeo M, Pharm D, Abraham R, Fandiño J, et al. New diagnostic criteria for neurocysticercosis: Reliability and validity. Ann Neurol. 2016;80:434-42. https://doi.org/10.1002/ana.24732

Troiani C, Barbosa Lopes CC, Scardovelli CA, Nai GA. Cystic brain metastases radiologically simulating neurocysticercosis. Sao Paulo Med J. 2011;129:352-6. https://doi.org/10.1590/S1516-31802011000500011

Liance M, Janin V, Bresson-Hadni S, Vuitton D, Houin R, Piarroux R. Immunodiagnosis of Echinococcus infections: Confirmatory testing and species differentiation by a new commercial Western Blot. J Clin Microbiol. 2000;38:3718-21.

Botero D, Restrepo M. Parasitosis humana. Tercera edición. Medellín: Editorial Corporación para Investigaciones Biológicas; 2005. p. 719.

Flores AA, Rodríguez P. Estandarización de la prueba de ELISA para el inmunodiagnóstico de hidatidosis humana empleando antígenos de producción local. Gac Med Bol 2006;29:5-10.

Duishanbai S, Jiafu D, Guo H, Liu C, Liu B, Aishalong M, et al. Intracranial hydatid cyst in children: Report of 30 cases. Childs Nerv Syst. 2010;26:821-7. https://doi.org/10.1007/s00381-009-1008-2

Imperato A, Consales A, Ravegnani M, Castagnola E, Bandettini R, Rossi A. Primary hydatid cyst of the brain in a child: A case report. Pol J Radiol. 2016;81:578-82. https://doi.org/10.12659/PJR.898619

Kim M, Cheok S, Chung LK, Cheok S, Ung N, Thilll K, et al. Characteristics and treatments of large cystic brain metastasis: Radiosurgery and stereotactic aspiration. Brain Tumor Res Treat .2015;3:1-7. https://doi.org/10.14791/btrt.2015.3.1.1

Lin CT, Ducis K, Tucker S, Tranmer B. Metastatic cardiac angiosarcoma to the lung, spine, and brain: A case report and review of the literature. World Neurosurg. 2017;107:1049. https://doi.org/10.1016/j.wneu.2017.08.023

Jung S-H, Jung T-Y, Joo S-P, Kim HS. Rapid clinical course of cerebral metastatic angiosarcoma from the heart. J Korean Neurosurg Soc. 2012;51:47-50. https://doi.org/10.3340/jkns.2012.51.1.47

Vaquero J, Martínez R, Coca S, Oya S, Burgos R. Cerebral metastasis from angiosarcoma of the heart, case report. Neurosurg. 1990;73:633-5. https://doi.org/10.3171/jns.1990.73.4.0633

Kurian KC, Weisshaar D, Parekh H, Parekh H, Berry GJ, Reitz B. Primary cardiac angiosarcoma: Case report and review of the literature. Cardiovasc Pathol. 2006;15:110-2. https://doi.org/10.1016/j.carpath.2005.10.003

Orlandi A, Ferlosi A, Roselli M, Chairello L, Spagnoli LG. Cardiac sarcomas, an update. J Thorac Oncol. 2010;5:1483-9. https://doi.org/10.1097/JTO.0b013e3181e59a91

Patel SD, Peterson A, Bartczac A, Lee S, Chojnowski S, Gajewski P, et al. Primary cardiac angiosarcoma – a review. Med Sci Monit. 2014;20:103-9. https://doi.org/10.12659/MSM.889875

Frota JD, Lucchese FA, Leães P, Valente LA, Viera MS, Blacher Sl. Primary cardiac angiosarcoma. A therapeutical dilemma. Arq Bras Cardiol. 2002;78:589-91. https://doi.org/10.1590/S0066-782X2002000600006

Fernandes F, Soufen H, Ianni B, Arteaga E, Ramires F, Mady C. Primary neoplasms of the heart clinical and histological presentation of 50 cases. Arq Bras Cardiol. 2001;76:235-7. https://doi.org/10.1590/S0066-782X2001000300006

Jung S, Jung T, Joo S, Kim H. Rapid clinical course of cerebral metastatic angiosarcoma from heart. J Korean Neurosurg Soc. 2012;51:47-50. https://doi.org/10.3340/jkns.2012.51.1.47

How to Cite
1.
Ortiz B, Hernández C, Barajas NC. A radiological and clinical description of metastatic angiosarcoma simulating a hydatid cyst. biomedica [Internet]. 2019 Sep. 1 [cited 2024 May 16];39(3):440-7. Available from: https://revistabiomedica.org/index.php/biomedica/article/view/4335
Published
2019-09-01
Section
Case presentation

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