Radiation therapy for intractable bleeding in extremity arteriovenous malformation: considerations on a clinical case.
Arteriovenous malformations are rare clinicopathological entities with varied distribution and a constellation of symptoms. In the extremities they are usually associated with dermatological manifestations, such as angiodermatitis with a potential risk of torrential haemorrhage. Surgical resection is a morbid procedure. Transcatheter embolization and sclerotherapy is an attractive alternative to surgical resection. However, proper case selection is a prerequisite and may not be possible in all the cases. The case reported here is a paradigm of a complex and extensive vascular malformation with torrential haemorrhage where a unique therapeutic approach of radiation therapy was used as an alternative to morbid surgery after embolization and sclerotherapy failure.
Goda
J S
JS
Department of Radiotherapy and Oncology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Kapoor
R
R
Yadav
B S
BS
Sharma
S C
SC
D000328:Adult; D001165:Arteriovenous Malformations / Q000150:complications* / Q000532:radiotherapy*; D006470:Hemorrhage / Q000209:etiology* / Q000532:radiotherapy*; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D012008:Recurrence; D016896:Treatment Outcome