A Case of angiosarcoma of the mandible

  • Watanabe Yoshiki
    Kyoto Medical Center Otolaryngology, Head and neck Surgery
  • Asato Ryo
    Kyoto Medical Center Otolaryngology, Head and neck Surgery
  • Tsuji Jun
    Kyoto Medical Center Otolaryngology, Head and neck Surgery
  • Kanda Tomoko
    Kyoto Medical Center Otolaryngology, Head and neck Surgery
  • Honda Keigo
    Kyoto Medical Center Otolaryngology, Head and neck Surgery
  • Mori Yusuke
    Kyoto Medical Center Otolaryngology, Head and neck Surgery
  • Tsujimura Takashi
    Kyoto Medical Center Otolaryngology, Head and neck Surgery

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Other Title
  • 下顎血管肉腫の1例

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Abstract

Angiosarcoma is a rare malignant endothelial cell tumor and accounts for about 1-2% of soft tissue sarcomas. Chronic lymphedema, after irradiation, such as trauma or chronic physical stimuli has been an incentive. Primary angiosarcoma typically occurs in the head and facial skin; angiosarcoma in the mandible such as this case is extremely rare. The rate of local recurrence or distant metastases is high. The 5-year survival rate is about 10-35% and the prognosis is poor. Complete resection is essential for local control, but it is important to consider postoperative functional preservation if the mandible has been involved in feeding, articulation and swallowing, which are directly linked to decreased quality of life. Here, we report on a case who underwent a complete resection for angiosarcoma that had extensively progressed in the primary lower jaw. We were able to achieve both local control and postoperative functional preservation by performing a rigid reconstruction in a one-stage repair and by using a mandible skin flap.

Journal

  • Toukeibu Gan

    Toukeibu Gan 38 (4), 408-414, 2012

    Japan Society for Head and Neck Cancer

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