[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.
López Cubillana
Pedro
P
Servicio de Urología. Hospital "Virgen de la Arrixaca", 30120-El Palmar, Murcia, España. pedrolopezcubillana@hotmail.com
Martínez Barba
Enrique
E
Server Pastor
Gerardo
G
Prieto González
Antonio
A
Ferri Níguez
Belén
B
Cao Avellaneda
Enrique
E
López López
Ana Isabel
AI
Nicolás Torroalba
José Antonio
JA
Rigabert Montiel
Mariano
M
Tornero Ruiz
Jesús
J
García Hernández
José Antonio
JA
Gómez Gómez
Guillermo
G
Martínez Pertusa
Pablo
P
Guardiola Mas
Angel
A
Pérez Albacete
Mariano
M
D000368:Aged; D017809:Fatal Outcome; D006394:Hemangiosarcoma / Q000628:therapy*; D006801:Humans; D007680:Kidney Neoplasms / Q000628:therapy*; D008297:Male