Radiation-associated angiosarcoma of the brain with repeated intracerebral hemorrhage: A case report

Radiation-associated angiosarcoma of the brain with repeated intracerebral hemorrhage: A case report

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Background: Delayed side effects of irradiation to the brain are now known to include the induction of new neoplasms.Radiation-induced angiosarcoma of the central nervous system is extremely rare.We report a case of radiation-associated angiosarcoma.

Case description: A 40-year-old man was taken to our hospital by ambulance with loss of appetite and impaired consciousness.He had undergone radiotherapy for a germinoma twizzlers orange cream pop filled licorice twists of the left basal ganglia 30 years previously.Initial computed tomography of the head showed a large and well-defined mass in the right temporal lobe.

This mass showed heterogeneous contrast enhancement at the periphery on gadolinium-enhanced T1-weighted imaging.We performed an initial operation to evacuate the hematoma and the mass.After that, recurrent bleeding occurred, so we performed evacuation of magnolia parka the hematoma and tumor.

A final pathological diagnosis of angiosarcoma was made.Conclusions: This is the third case of radiation-associated angiosarcoma in the literature.The authors describe this particular case and review the literature pertaining to angiosarcoma of the brain.