Angiosarcoma developing after curative induction chemotherapy and radiotherapy for locally advanced squamous cell carcinoma of the larynx

Patrick J. Gagnon, Chad Galderisi, Brandi R. Page, John Holland

Research output: Contribution to journalArticle

Abstract

Background. Angiosarcoma arising after radiation is described in breast cancer but occurs elsewhere. Here, we present an angiosarcoma of the neck occurring after curative chemoradiation. Methods. This is a case of angiosarcoma developing 5 years after curative therapy for T3N0 squamous cell carcinoma of the supraglottic larynx. Therapy consisted of 3 cycles of induction cisplatin/ 5-fluorouracil chemotherapy followed by radiotherapy. The patient did well until developing a rapidly progressive lesion of the left neck. Examination showed a 7-cm mass and biopsy revealed angiosarcoma. CT scans assessed the local extent of the tumor and ruled out metastatic disease prior to initiating therapy. Results. Therapy consisted of 4 cycles of paclitaxel chemotherapy. At completion, examination revealed mild induration of the neck with near-complete resolution of the mass. Imaging confirmed this excellent response. Conclusion. This rare therapy-related second malignancy developed after curative larynx-preserving treatment. Paclitaxel was an effective therapy in this setting.

Original languageEnglish (US)
Pages (from-to)829-832
Number of pages4
JournalHead and Neck
Volume31
Issue number6
DOIs
StatePublished - Jun 2009

Fingerprint

Hemangiosarcoma
Induction Chemotherapy
Larynx
Squamous Cell Carcinoma
Radiotherapy
Neck
Paclitaxel
Therapeutics
Drug Therapy
Second Primary Neoplasms
Fluorouracil
Cisplatin
Radiation
Breast Neoplasms
Biopsy

Keywords

  • Angiosarcoma
  • Induction chemotherapy
  • Larynx
  • Radiation
  • Squamous cell carcinoma

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Angiosarcoma developing after curative induction chemotherapy and radiotherapy for locally advanced squamous cell carcinoma of the larynx. / Gagnon, Patrick J.; Galderisi, Chad; Page, Brandi R.; Holland, John.

In: Head and Neck, Vol. 31, No. 6, 06.2009, p. 829-832.

Research output: Contribution to journalArticle

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AB - Background. Angiosarcoma arising after radiation is described in breast cancer but occurs elsewhere. Here, we present an angiosarcoma of the neck occurring after curative chemoradiation. Methods. This is a case of angiosarcoma developing 5 years after curative therapy for T3N0 squamous cell carcinoma of the supraglottic larynx. Therapy consisted of 3 cycles of induction cisplatin/ 5-fluorouracil chemotherapy followed by radiotherapy. The patient did well until developing a rapidly progressive lesion of the left neck. Examination showed a 7-cm mass and biopsy revealed angiosarcoma. CT scans assessed the local extent of the tumor and ruled out metastatic disease prior to initiating therapy. Results. Therapy consisted of 4 cycles of paclitaxel chemotherapy. At completion, examination revealed mild induration of the neck with near-complete resolution of the mass. Imaging confirmed this excellent response. Conclusion. This rare therapy-related second malignancy developed after curative larynx-preserving treatment. Paclitaxel was an effective therapy in this setting.

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