Case report demonstrates angiosarcoma masquerading as a chronic lower extremity ulcer in chronic lymphoedema, highlighting the critical role of early biopsy for persistent wounds.
Key Points
To describe an atypical clinical presentation of cutaneous angiosarcoma mimicking a chronic lower extremity ulcer in a patient with chronic lymphoedema and emphasize the importance of prompt diagnostic biopsy.
Evaluated the clinical presentation, diagnostic evaluation, histopathological findings, and management course of a 74-year-old female presenting with a persistent, non-healing lower extremity ulcer.
Histopathologic analysis via biopsy confirmed cutaneous angiosarcoma following conservative treatment failure for presumed cellulitis and venous ulceration.
Treatment with complete surgical resection and adjuvant radiotherapy resulted in disease-free survival exceeding 4 years prior to recurrence and patient death.