Liver angiosarcoma

Liver angiosarcoma
Other namesHepatic angiosarcoma, angiosarcoma of the liver
Specimen of a surgically removed and dissected liver angiosarcoma with visible necrosis and bleeding
SpecialtyOncology
SymptomsAsymptomatic, abdominal pain, weight loss, anorexia, fatigue
ComplicationsDisseminated intravascular coagulation, tumor rupture
Usual onsetAge 60-70
CausesUnknown, exposure to arsenic, thorotrast, vinyl chloride
Diagnostic methodBiopsy, imaging
Differential diagnosisHemangioma, hepatocellular carcinoma
TreatmentSurgery, chemotherapy
PrognosisPoor, most die within 6 months
Frequency200 new diagnoses per year worldwide

Liver angiosarcoma also known as angiosarcoma of the liver or hepatic angiosarcoma is a rare and rapidly fatal cancer arising from endothelial cells that line the blood vessels of the liver. It is a type of angiosarcoma. Although very rare with around 200 cases diagnosed each year, it is still considered the third most common primary liver cancer, making up around 2% of all primary liver cancers. Liver angiosarcoma can be primary (referred to in literature as PHA or primary hepatic angiosarcoma), meaning it arose in the liver, or secondary, meaning the angiosarcoma arose elsewhere and metastasized to the liver. This article covers PHA, however much is also applicable to secondary tumors.