How would you treat unresectable angiosarcoma of the extremity in a patient who is inoperable due to underlying comorbidities?
Answer from: Radiation Oncologist at Academic Institution
Radiation and taxane therapy are both active agents for angiosarcoma. Administering weekly paclitaxel is supported by the ANGIOTAX study (Penel et al., PMID 18809609), and @Matthew B. Spraker and colleagues are conducting a phase II trial evaluating the efficacy of induction chemotherapy followed by...
Answer from: Radiation Oncologist at Academic Institution
I generally agree with @Adam Olson’s thoughtful response.
Assuming this is cutaneous, I would also obtain systematic mapping punch biopsies around the lesion to define extent of microscopic spread, which can extend further than appreciated on MRI.
Following that, induction taxane-based chemo...