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Konstanze Spieth, MD; Jens Gille, MD; Roland Kaufmann, MD
Zentrum der Dermatologie, Klinikum der J. W. Goethe-Universität, Frankfurt am Main, Germany

Arch Dermatol. 1999;135:1035-1037.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 77-year-old male patient presented with a 2-year history of recurrent angiosarcoma (AS) of the face and scalp. At the time of initial diagnosis, multifocal growth of the tumor was visible. On the left side of the scalp and forehead, several 1- to 5-cm² reddish-brown nodules were noticed, one of which was ulcerated and hemorrhagic. Another 5-cm plaquelike lesion was seen on the left cheek. The presumptive diagnosis of AS was confirmed by histological analysis. X-ray examination of skull and chest, magnetic resonance imaging of the neck, and abdominal ultrasound revealed no evidence of local or distant metastases. Due to the extent of the disease, radical surgery was not an appropriate option. It was thus decided to treat the AS by field electron beam therapy (cheek, 56 Gy; scalp and forehead, each 60 Gy; 2 Gy per fraction), leading to a . . . [Full Text of this Article]

THERAPEUTIC CHALLENGE

SOLUTION

COMMENT