Pathology and Microbiology
Hepatic angiosarcomas are rare tumours with poor prognosis, with patients usually dying within 6 months. Metastases mainly occur in lymph nodes, spleen, lungs, bones and adrenals. Metastasis to small intestine is even rarer. Similarly, primary or metastatic angiosarcomas in small intestine are extremely rare, often present with recurrent gastrointestinal bleeding and anemia, and have an extremely poor prognosis. Both primary or metastatic intestinal angiosarcomas may exhibit epithelioid morphology. It may be very difficult to differentiate between primary and secondary cases in intestine and especially when the tumour exhibits epithelioid morphology.
Journal of the College of Physicians and Surgeons Pakistan
(2008). Hepatic angiosarcoma with metastasis to small intestine. Journal of the College of Physicians and Surgeons Pakistan, 18(1), 50-2.
Available at: http://ecommons.aku.edu/pakistan_fhs_mc_pathol_microbiol/18