Angiosarcoma in a soft tissue sarcoma cohort: real-world patterns and outcomes - Report - MDSpire

Angiosarcoma in a soft tissue sarcoma cohort: real-world patterns and outcomes

  • By

  • Kübra Canaslan

  • Özge Yetginoğlu

  • Hasan Oğuz Çetinayak

  • Emine Burçin Tuna

  • Tuğba Yavuzşen

  • June 9, 2026

  • 0 min

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Clinical Report: Angiosarcoma Among Patients with Soft Tissue Sarcomas

Overview

This study reviews angiosarcoma cases within a cohort of soft tissue sarcoma patients, highlighting its rarity. Among 12 identified cases, the median overall survival was 9.5 months, with a significant proportion presenting with advanced disease.

Background

Angiosarcoma is a rare and aggressive form of vascular sarcoma, accounting for 1-2% of soft tissue sarcomas. Its clinical significance lies in its rapid progression and poor response to treatment.

Data Highlights

CharacteristicValue
Total Cases12
Median Age62 years (range 19–88)
Metastatic/Unresectable Disease9 patients (75.0%)
Median Overall Survival9.5 months (95% CI, 6.77–12.22)
Median First-Line PFS4.8 months (95% CI, 4.24–5.42)

Key Findings

  • Angiosarcoma represented 2.2% of soft tissue sarcoma cases in the cohort.
  • 41.7% of angiosarcoma cases were cutaneous, while 58.3% were visceral.
  • 75% of patients presented with metastatic or unresectable disease at diagnosis.
  • First-line therapy was paclitaxel-based in 66.7% of advanced cases.
  • The median follow-up period was 28.5 months, with 7 deaths recorded.
  • Overall survival and progression-free survival were notably poor despite treatment.

Clinical Implications

Angiosarcoma often presents at an advanced stage, leading to poor survival outcomes.

Conclusion

Angiosarcoma is rare within the cohort but presents significant challenges in treatment and prognosis.

Related Resources & Content

  1. The ASCO Post, 2014 -- Advances in Sarcoma Owe Much to Children’s Oncology Group
  2. Springer, 2024 -- Comparative Analysis of Local Recurrence Rates in Superficial and Deep Soft Tissue Sarcomas
  3. The ASCO Post, 2024 -- Neoadjuvant Immunotherapy May Improve Long-Term Survival in Patients With Resectable Soft-Tissue Sarcoma
  4. PubMed, 2025 -- NCCN Guidelines® Insights: Soft Tissue Sarcoma, Version 1.2025
  5. ScienceDirect, 2025 -- Phase II trial, multicenter, first-line paclitaxel-avelumab treatment of inoperable angiosarcoma (KCSG UN 18-15)
  6. The ASCO Post — Surgery Plus Radiation Offers Mixed Results in Soft-Tissue Sarcoma
  7. NCCN Guidelines® Insights: Soft Tissue Sarcoma, Version 1.2025 - PubMed
  8. Phase II trial, multicenter, first-line paclitaxel-avelumab treatment of inoperable angiosarcoma (KCSG UN 18-15) - ScienceDirect
  9. Genomic and Demographic Characteristics of Angiosarcoma as Described in the AACR Project GENIE Registry | MDPI

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