Andrea L Gale1,2, Rex A W Marco1,2, Shari R Liberman1,2, Dmitry Zavlin3,4, Anthony Echo3,4. 1. 1 Department of Orthopedic Surgery, Houston Methodist Hospital, TX, USA. 2. 2 Department of Orthopedic Surgery, Weill Cornell Medicine, New York, USA. 3. 3 Department of Plastic Surgery, Houston Methodist Hospital, TX, USA. 4. 4 Department of Plastic Surgery, Weill Cornell Medicine, New York, USA.
Abstract
BACKGROUND: Angiosarcoma is a rare but aggressive malignancy with a high predilection for the head and neck. There have been few case reports of the development of angiosarcoma in a nonfunctional arteriovenous fistula in a hemodialysis patient. METHODS: After institutional review board approval, a retrospective chart analysis is conducted to present the case of a patient who received plastic surgical treatment at our hospital. RESULTS: We present the case of a 44-year-old male who presented with ischemic changes and paresthesias of the upper extremity associated with the development of angiosarcoma in an arteriovenous fistula. CONCLUSIONS: Angiosarcoma remains a rare but important diagnosis to include in the differential diagnosis for upper extremity pain and paresthesias in chronic renal failure and nonfunctioning arteriovenous fistula.
BACKGROUND:Angiosarcoma is a rare but aggressive malignancy with a high predilection for the head and neck. There have been few case reports of the development of angiosarcoma in a nonfunctional arteriovenous fistula in a hemodialysis patient. METHODS: After institutional review board approval, a retrospective chart analysis is conducted to present the case of a patient who received plastic surgical treatment at our hospital. RESULTS: We present the case of a 44-year-old male who presented with ischemic changes and paresthesias of the upper extremity associated with the development of angiosarcoma in an arteriovenous fistula. CONCLUSIONS:Angiosarcoma remains a rare but important diagnosis to include in the differential diagnosis for upper extremity pain and paresthesias in chronic renal failure and nonfunctioning arteriovenous fistula.