Key result
Head and neck cutaneous angiosarcoma presenting with hemorrhagic vesicular lesions proves fatal within 1 month.
Case Report (n=1)
Cutaneous angiosarcoma of the head and neck is a rare, aggressive tumor with a poor prognosis, as demonstrated by this case of rapid mortality.
Case report of head-neck cutaneous angiosarcoma with bullous lesions in elderly; leaves open optimal management pending larger series.
Cutaneous angiosarcoma is a rare aggressive tumor of capillary and lymphatic endothelial cell origin. Cutaneous angiosarcoma of the head and neck regions seems to be a distinctive neoplasm with characteristic clinicopathologic features that differ from angiosarcoma in other anatomic locations. Angiosarcoma, regardless of their setting, has a bad prognosis. We presented here a case of 80 years old male, with multiple nontender grouped purple to red hemorrhagic vesicular and bullous lesions over left lower cheek and upper neck area, with bilateral cervical lymph nodes since 1 month. Computed tomography thorax showed nodular opacities in the right upper and midzones. Excisional biopsy showed characterstic "dissection of collagen" with mild nuclear atypia. Immunohistochemistry showed tumor cell positive for CD-31 and Fli-1. Patient died within 1 month of presentation.
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Vora et al. (2014) conducted a case report in Cutaneous angiosarcoma of the head and neck (n=1). An 80-year-old male with cutaneous angiosarcoma of the head and neck presented with hemorrhagic vesicular lesions and died within 1 month of presentation.
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