case_images: PMC5828302_01
case_images: Abdominal CT scan showing an enlarged spleen with its visible rupture (1) and bleeding outside the capsule.
case_images: CRIONM2018-8672407.001.jpg
case_images: PMC5828302_01_CRIONM2018-8672407.001.jpg
case_images: fig1
case_images: The abdominal spiral computed tomography (CT) examination was performed that showed spleen enlargement with a nonhomogeneous polycyclic contrast-enhanced lesion and bleeding in the infiltrative lesion with slight bleeding outside the fibroelastic capsule of the organ (Figures 1 and 2).
case_images: Abdominal CT scan performed before the surgery. Significant spleen enlargement is visible with distinctive area of parenchyma affected by the angiosarcoma.
case_images: CRIONM2018-8672407.002.jpg
case_images: PMC5828302_01_CRIONM2018-8672407.002.jpg
case_images: fig2
case_images: The abdominal spiral computed tomography (CT) examination was performed that showed spleen enlargement with a nonhomogeneous polycyclic contrast-enhanced lesion and bleeding in the infiltrative lesion with slight bleeding outside the fibroelastic capsule of the organ (Figures 1 and 2).
case_images: Microscopic view of angiosarcoma with hemorrhagic areas and vascular channels lined by endothelial atypical cells (hematoxylin and eosin staining, 100x).
case_images: CRIONM2018-8672407.003.jpg
case_images: PMC5828302_01_CRIONM2018-8672407.003.jpg
case_images: fig3
case_images: Cytokeratin, CD117, and S100 protein immunohistostaining were negative (Figures 3-5).
case_images: Vascular capillaries of various sizes and cavernous-like spaces lined by endothelial cells with high-grade atypia (hematoxylin and eosin staining, 200x).
case_images: CRIONM2018-8672407.004.jpg
case_images: PMC5828302_01_CRIONM2018-8672407.004.jpg
case_images: fig4
case_images: Cytokeratin, CD117, and S100 protein immunohistostaining were negative (Figures 3-5).
case_images: Immunohistochemical stain for CD34 highlights the malignant endothelial cells (200x).
case_images: CRIONM2018-8672407.005.jpg
case_images: PMC5828302_01_CRIONM2018-8672407.005.jpg
case_images: fig5
case_images: Cytokeratin, CD117, and S100 protein immunohistostaining were negative (Figures 3-5).
case_images: The coronal scope (a) and axial scope (b) of radiotherapy plan and dose distribution illustrated by different isodoses.
case_images: CRIONM2018-8672407.006.jpg
case_images: PMC5828302_01_CRIONM2018-8672407.006.jpg
case_images: fig6
case_images: A dose of 45 Gy (fraction dose 1.8 Gy) was given to the tumor bed with additional boost to the area of larger curvature of the stomach to a total dose of 50.4 Gy due to the positive surgical margins (Figures 6(a) and 6(b)).