Abstract
Angiosarcoma is a cancer that is derived from endothelial cells that line blood vessels and lymphatic channels. Cutaneous angiosarcoma can appear anywhere on the skin and the clinical presentation is highly variable. Most cases appear on the scalp and face de novo. Our case describes a 91-year-old female with cutaneous scalp angiosarcoma. Our case serves to remind physicians that an abnormal skin finding in older adults should raise their index of suspicion for angiosarcoma and an early biopsy should be performed.
Highlights
Angiosarcoma is a highly invasive tumor with a poor prognosis
Wide local excision of the lesion for histological tumorfree margin is the treatment of choice for angiosarcoma [2]
Systemic chemotherapy followed by adjuvant radiation therapy is recommended in metastatic disease [2]
Summary
Angiosarcoma is a highly invasive tumor with a poor prognosis. Ten-year survival rates of scalp angiosarcoma have been reported to be as low as 13.8% with metastatic disease and as high as 53.6%, if the disease is localized [1]. The following case is reported because of the several clinical diagnoses that were mistakenly given prior to the correct diagnosis of angiosarcoma provided. Given the aggressive nature of this tumor, a delay in the definitive diagnosis may have played a role in the malignant course and treatment options
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