Metastatic splenic angiosarcoma presenting with anemia and bone marrow fibrosis mimicking primary myelofibrosis: A case report and literature review

Mol Clin Oncol. 2024 Jan 4;20(2):16. doi: 10.3892/mco.2024.2714. eCollection 2024 Feb.

Abstract

Angiosarcomas, originating from endothelial cells, are infrequent soft tissue sarcomas characterized by a high propensity for metastasis and an unfavorable prognosis. Splenic angiosarcoma, an exceedingly rare and aggressive neoplasm, exhibits variable clinical manifestations. The present case report describes a patient initially exhibiting anemia and bone marrow fibrosis, mimicking primary myelofibrosis, ultimately diagnosed with splenic angiosarcoma. The findings of the present case report underscore the importance of considering splenectomy for histopathological confirmation. Employing a panel of vascular differentiation markers is invaluable for establishing the diagnosis of angiosarcoma.

Keywords: anemia; angiosarcoma; myelofibrosis; spleen; splenectomy.

Publication types

  • Case Reports

Grants and funding

Funding: The present study was supported by The China Postdoctoral Science Foundation (Grant no. 2020M673097).