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May 16, 1977

Hepatic Angiosarcoma Within a Small Geographic Area

JAMA. 1977;237(20):2189. doi:10.1001/jama.1977.03270470025013

To the Editor.—  Fiechtner and Reyes recently reported (236:1704,1976) four cases of hepatic angiosarcoma occurring within 224 km of Marshfield, Wis, during the period June 1973 to November 1975. We would like to report a case of angiosarcoma involving spleen, liver, and peritoneum that was seen in January 1976 in a boy living within 426 km of Marshfield, Wis.

Report of Case.—  A 13-year-old boy was referred in August 1976. He had had an operation on July 24, 1976, for abdominal pain, and numerous tumor nodules had been found adherant to bowel, in the greater omentum, the gastrocolic ligament, and at the tail of the pancreas. The tissue was diagnosed as angiosarcoma.The spleen had been removed in January 1976 because of traumatic rupture; on review, it was found to contain angiosarcoma.A liver scan showed multiple tumor nodules. Lung tomograms and bone survey and scan were normal.He was