Cutaneous angiosarcoma of the face and scalp is a rare but aggressive vascular tumour of endothelial cell origin, having poor prognosis. Clinically it presents with an asymptomatic erythematous to bruise like macular lesion in face or scalp. Local spread, recurrence and metastasis to regional lymph nodes and lungs are common. Early diagnosis and treatment are essential for local control of this aggressive tumour, but recognition can be delayed because of its rarity or because of difficulty in making a pathological diagnosis. Early detection and multidisciplinary approach may improve survival. Cutaneous angiosarcoma (CA) accounts for 60% of cases of angiosarcoma. We report here a case of 65 years old man who presented with 4 months history of indurated swelling over the left infraorbital area extending the forehead, scalp and the other side of face with marked induration of the skin. Histsopathological examination of the biopsy from the nodule confirmed the diagnosis of cutaneous angisarcoma.
Cutaneous angiosarcoma, Vascular tumour, Poor prognosis.