Angiosarcoma of the Temporal Bone: Case Report and Review of the Literature

• Published in: World neurosurgery 2019-10, Vol.130, p.351-357
• Main Authors: Bernstock, Joshua D, Shafaat, Omid, Hardigan, Andrew, Fox, Brandon M, Moore, Lindsay S, Chagoya, Gustavo, Elsayed, Galal, Gessler, Florian, Ilyas, Adeel, Yamashita, Daisuke, McGrew, Benjamin, Fisher, 3rd, Winfield S, Hackney, James, Sotoudeh, Houman
• Format: Article
• Language: English
• Subjects: Bone Neoplasms - pathology; Bone Neoplasms - surgery; Head Injuries, Closed - complications; Head Injuries, Closed - pathology; Hemangiosarcoma - pathology; Hemangiosarcoma - surgery; Humans; Magnetic Resonance Imaging; Male; Neoplasm Recurrence, Local - surgery; Reoperation; Temporal Bone - pathology; Temporal Bone - surgery; Tomography, X-Ray Computed; Young Adult
• ISSN: 1878-8750; 1878-8769
• DOI: 10.1016/j.wneu.2019.07.107

Angiosarcomas are rare malignant tumors of endothelial origin. Nearly one half of all angiosarcomas occur in the head and neck. Temporal bone angiosarcomas are extremely uncommon. We present a case of temporal bone angiosarcoma and a review of the relevant data. We present the case of a 20-year-old man with a painful right postauricular mass after a closed head injury. Radiologic studies demonstrated a large right osteolytic and heterogeneously enhancing mass. The patient underwent right transpetrosal craniectomy for resection. Histologic studies confirmed high-grade sarcoma. Immunohistochemical staining demonstrated a uniformly positive ERG endothelial marker, CD31 staining with cytoplasmic and membranous patterns of immunopositivity, positive nuclear staining for FLI-1, positive cytoplasmic and membranous staining for CD99 and STAT6, and negative smooth muscle actin stains in the neoplastic cells. Ki-67 staining showed ∼94% positivity in the neoplastic cell nuclei. Postoperative follow-up imaging studies demonstrated evidence of metastatic right cervical lymphadenopathy. Angiosarcoma of the temporal bone is extremely uncommon. In the present case report, we explored a relationship between trauma and angiosarcoma of the temporal bone. We reviewed the reported data regarding the pathogenesis, diagnosis, treatment, radiologic findings, and histologic characteristics of angiosarcoma of the temporal bone.