Management of Cutaneous Angiosarcoma: an Update Review

Curr Treat Options Oncol. 2022 Feb;23(2):137-154. doi: 10.1007/s11864-021-00933-1. Epub 2022 Feb 19.

Abstract

Cutaneous angiosarcoma is a rare and invasive malignant tumor. For localized cAS patients, wide-margin excision was recommended. Due to the latent local invasion characteristic of cAS, we suggest preoperative and postoperative radiotherapy to nearly all patients. Recently, there is growing interest in using neoadjuvant chemotherapy and/or radiotherapy as part of a combination therapy regimen, which may allow some patients to undergo potentially less disabling surgery. For metastatic cAS patients with unresectable tumors and who refuse surgery, radical radiotherapy or chemoradiotherapy may be an option. Paclitaxel was recognized as the first-line treatment. For tumors resistant to taxanes, emerging medications such as targeted agents and immunotherapy are also under investigation.

Keywords: Chemotherapy; Cutaneous angiosarcoma; Immunotherapy; Radiotherapy; Surgery; Treatment.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Chemoradiotherapy
  • Hemangiosarcoma* / diagnosis
  • Hemangiosarcoma* / etiology
  • Hemangiosarcoma* / therapy
  • Humans
  • Neoadjuvant Therapy
  • Paclitaxel / therapeutic use
  • Skin Neoplasms* / diagnosis
  • Skin Neoplasms* / etiology
  • Skin Neoplasms* / therapy

Substances

  • Paclitaxel