Case Report: Angiosarcoma in the Upper Extremity Related to a Nonfunctioning Arteriovenous Fistula. (September 2017)

• Record Type: Journal Article
• Authors: Gale, Andrea L.; Marco, Rex A. W.; Liberman, Shari R.; Zavlin, Dmitry; Echo, Anthony
• Is Part Of: Hand. Volume 12:Number 5(2017)
• Page Start: NP132
• Page End: NP135
• Publication Date: 2017-09
• Subjects: angiosarcoma -- arteriovenous fistula -- ischemia -- chronic renal failure -- radial artery; Hand -- Surgery -- Periodicals; Hand -- Surgery; Periodicals; 617.57005
• DOI: 10.1177/1558944717702466
• Languages: English
• ISSNs: 1558-9447

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.