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July 26, 2026Journal of Medical Case ReportsOpen Access

Extreme obesity linked to fatal multi-organ failure after precluding standard oncologic staging and curative options.

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Key result

Extreme obesity (BMI 106.7 kg/m2) precluded access to standard oncologic staging and contributed to a loss of curative options, leading to multi-organ failure and death on day 24 of admission.

Authors

MFMaria FuethCWChristoph WallnerYSYonca Steubing

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Overview

Extreme obesity may preclude standard cancer staging; leaves open need for bariatric-adapted infrastructure.

Key Points

  • This case report examines the challenges faced in diagnosing and treating cutaneous angiosarcoma in a super-morbidly obese patient.
  • Reported a case of a 54-year-old woman with advanced obesity and lymphedema presenting with cutaneous angiosarcoma.
  • Attempted standard staging with CT, MRI, and PET, which was not feasible due to patient size.
  • Performed bedside wide local excision followed by below-knee amputation due to necrosis.
  • Patient developed septic shock, respiratory failure, and acute kidney injury post-surgery.
  • Despite aggressive interventions, care was de-escalated to comfort-focused due to multi-organ failure.
  • Patient died on day 24 of admission due to complications from extreme obesity.

Study Design

Type

Case Report (n=1)

PICO

P
Population
A 54-year-old woman with extreme obesity (BMI 106.7 kg/m2) and chronic stage IV lymphedema who developed high-grade cutaneous angiosarcoma.
E
Exposure / Comparator
Extreme obesity
O
Primary Outcome
Clinical outcome

Cite This Study

Fueth et al. (2026) conducted a case report in Cutaneous angiosarcoma in extreme obesity (n=1). Extreme obesity was evaluated on Clinical outcome. Extreme obesity (BMI 106.7 kg/m2) precluded access to standard oncologic staging and contributed to a loss of curative options, leading to multi-organ failure and death on day 24 of admission.

synapsesocial.com/papers/6a65a890d3aea3239cd78e5ahttps://doi.org/10.1186/s13256-026-06391-3
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