Ces radiol. 2025, 79(1):34-40 | DOI: 10.55095/CesRadiol2025/004

Disseminated angiosarcoma imitating multiple myelomaCase report

Klára Plšková¹, Tomáš Jůza¹, Samuel Hricko², Andrea Šprláková-Puková¹

¹ Klinika radiologie a nukleární medicíny LF MU a FN, Brno

² Interní hematologická a onkologická klinika LF MU a FN, Brno

Hemangiosarcoma is a rare and aggressive tumor with a poor prognosis, as it has a high rate of local recurrence and metastasis. It most commonly occurs on the skin, in soft tissues and in parenchymal organs such as breasts, liver, and spleen. It can affect individuals of any age, but it is usually diagnosed in older patients. Diagnosis is based on histologic and immunohistochemical examination, and on imaging modalities such as MRI and CT. Treatment options include surgical removal, radiotherapy and chemotherapy, however at the time of diagnosis the disease has usually already spread to multiple organs, limiting treatment options. In this case report, we present a case of disseminated hemangiosarcoma in a middle-aged male patient initially suspected to have multiple myeloma.

Keywords: angiosarcoma, hemangiosarcoma, CT, multiple myeloma, MRI.

Accepted: January 31, 2025; Published: April 22, 2025  Show citation