Abstract
Cutaneous angiosarcoma of the head and neck is a rare disease with a very difficult treatment. We report two cases of patients with cutaneous angiosarcoma of the scalp and a review of the literature. Both patients were female and their average age was 70.3 years. In the two cases, the clinical presentation of the angiosarcoma was a multifocal tumor of the scalp with bleeding and ulceration. One of the patients had regional lymph node metastasis and the other had lung metastasis. Both lesions received surgical treatment with wide excision and were reconstructed immediately; negative margins were reported in the definitive section. One patient underwent a posterolateral neck dissection. Cutaneous angiosarcoma of the scalp is an aggressive tumor that has a high metastatic potential; its treatment consists of a wide surgical resection with negative margins and radiation therapy; despite this, its prognosis is generally poor.
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