Key result
A 71-year-old male diagnosed with poorly differentiated cutaneous angiosarcoma of the scalp, initially presenting as eyelid edema, declined treatment and died six months later.
Why the study?
Cutaneous angiosarcoma is a rare, aggressive neoplasm with a variable presentation that can be clinically and histologically challenging to diagnose.
Case Report (n=1)
No
This case highlights the diagnostic challenge of cutaneous angiosarcoma presenting atypically as eyelid edema and the critical role of immunostaining in confirming the diagnosis.
Eyelid edema warrants consideration of rare scalp angiosarcoma; single case leaves diagnostic timing and management open.
Cutaneous angiosarcoma is a rare and highly aggressive neoplasm with poor prognosis. Owing to its variable presentation, it may be a challenging clinical and histological diagnosis. Herein, we describe a particular case of cutaneous angiosarcoma of the head and neck in a 71-year-old male with skin type V who presented with solid, progressive eyelid edema. A histological examination of skin biopsies first concluded cutaneous metastasis of an undifferentiated carcinomatous tumor. Immunostaining was essential to reach the correct diagnosis. The treatment of cutaneous angiosarcoma remains unsatisfactory. We sincerely hope that the prognosis of cutaneous angiosarcoma will be improved with the use of targeted therapies based on current genetic studies as it has been for melanoma.
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Mouradi et al. (2022) conducted a case report in Cutaneous angiosarcoma (n=1). Palliative care was evaluated on Patient survival. A 71-year-old male diagnosed with poorly differentiated cutaneous angiosarcoma of the scalp, initially presenting as eyelid edema, declined treatment and died six months later.
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