Primary splenic angiosarcoma presenting with multiple bone destruction as the initial manifestation: a case report and narrative review - Takeaways - MDSpire
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Initial Presentation of Primary Splenic Angiosarcoma with Multiple Bone Lesions: A Case Study and Literature Review

  • By

  • Weijun Wang

  • Xia Liu

  • August 21, 2026

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  • 1

    Primary splenic angiosarcoma (PSA) is a rare and aggressive malignant vascular neoplasm with a median survival of 5–12 months.

  • 2

    Initial presentation of PSA with osseous metastasis is uncommon and can lead to diagnostic confusion with other malignancies.

  • 3

    Histological differentiation in angiosarcoma does not always correlate with biological behavior, as well-differentiated tumors can be highly aggressive.

  • 4

    Biopsy of vascular tumors like angiosarcoma carries a significant risk of hemorrhage, necessitating careful pre-procedural assessment.

  • 5

    Accurate diagnosis of PSA requires integration of clinical, imaging, and pathological findings due to its nonspecific manifestations.

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