title: Primary and secondary angiosarcomas: a comparative single-center analysis creator: Hillenbrand, Thorsten creator: Menge, Franka creator: Hohenberger, Peter creator: Kasper, Bernd subject: 610 subject: 610 Medical sciences Medicine description: Background: Angiosarcomas (AS) are rare vascular malignancies. They are subdivided into primary (PAS) and secondary angiosarcomas (SAS). The objective was to compare the characteristics of AS subtypes. Methods: Eighteen PAS and ten SAS patients treated at our institution between 2004 and 2012 were included in this study. Results: Median age of PAS and SAS patients was 52.9 and 64.2 years, respectively (p = 0.1448). The percentage of women was 27.8% for PAS, but 80.0% for SAS (p = 0.0163). While PAS occurred throughout the body, the majority of SAS arose from the breast (p = 0.0012). All SAS were radiation-induced with a median latency of 7.7 years. The majority of patients with PAS and SAS underwent surgery as primary or recurrence treatment (p > 0.95). Local recurrence was developed by 27.8% of PAS and 50.0% of SAS (p = 0.4119). 61.1% of PAS metastasized, but only 40.0% of SAS (p = 0.4328). Median overall survival for PAS and SAS was 19 and 57 months, respectively (p = 0.2306). Conclusion: Radical surgery remains the mainstay of both primary and recurrence treatment. SAS show a high local recurrence rate, while PAS tend towards developing early metastases. Overall, prognosis is poor for both groups. publisher: BioMed Central date: 2015 type: Article type: info:eu-repo/semantics/article type: NonPeerReviewed format: application/pdf identifier: https://archiv.ub.uni-heidelberg.de/volltextserverhttps://archiv.ub.uni-heidelberg.de/volltextserver/19417/1/13569_2015_Article_28.pdf identifier: DOI: identifier: urn:nbn:de:bsz:16-heidok-194175 identifier: Hillenbrand, Thorsten ; Menge, Franka ; Hohenberger, Peter ; Kasper, Bernd (2015) Primary and secondary angiosarcomas: a comparative single-center analysis. Clinical Sarcoma Research, 5 (14). pp. 1-7. ISSN 2045-3329 relation: https://archiv.ub.uni-heidelberg.de/volltextserver/19417/ rights: info:eu-repo/semantics/openAccess rights: Please see front page of the work (Sorry, Dublin Core plugin does not recognise license id) language: eng