[Fatal evolution of a renal angiosarcoma].
OBJECTIVE
Report a new case of renal angiosarcoma treated by surgery and adjuvant chemotherapy with bad results.


METHODS
72-year-old male undergoing right nephrectomy for renal tumor. Pathology reports renal angiosarcoma.


RESULTS
Three months after surgery patient refers lumbar pain and hemoptysis and CT scan reveals the existence of multiple bone and lung metastasis; a regimen of systemic chemotherapy with Doxorrubicine+ Ifosfamide was started without response; he died two months later.


CONCLUSIONS
Primary renal angiosarcoma is very rare, with less than 10 cases in the literature before 1998, and it is always associated with bad prognosis. Diagnosis is based on immunohistochemical studies (antibodies against CD31, CD34 and factor VIII related antigen) to define the endothelial differentiation of the tumor. There is no experience to define the best therapeutic strategy against this entity.
Servicio de Urología. Hospital "Virgen de la Arrixaca", 30120-El Palmar, Murcia, España. pedrolopezcubillana@hotmail.com
Pedro
P
López Cubillana
Enrique
E
Martínez Barba
Gerardo
G
Server Pastor
Antonio
A
Prieto González
Belén
B
Ferri Níguez
Enrique
E
Cao Avellaneda
Ana Isabel
AI
López López
José Antonio
JA
Nicolás Torroalba
Mariano
M
Rigabert Montiel
Jesús
J
Tornero Ruiz
José Antonio
JA
García Hernández
Guillermo
G
Gómez Gómez
Pablo
P
Martínez Pertusa
Angel
A
Guardiola Mas
Mariano
M
Pérez Albacete
D000368:Aged; D017809:Fatal Outcome; D006394:Hemangiosarcoma / Q000628:therapy*; D006801:Humans; D007680:Kidney Neoplasms / Q000628:therapy*; D008297:Male