Cutaneous angiosarcoma of the head and neck is a rare vascular neoplasm. When it does occm; it is most common in elderly white men. Early diagnosis and treatment are essential for local control of this aggressive tumor, but recogniti on can be dela yed because ofits rarity or because ofdifficulty in makin g apathol ogic diagnosis. A combinedmodality treatment approach is most often advocated. We report the case ofa 77-year-old black man who presented with a l-tnonth history of two painless, violaceous, subcentimeter nodules of the upper lip. After a diagnosis of low-grade angiosarcoma was definiti vely established, the lesions were locally excised with good cosmetic and functional results. The pati ent subsequently was found to have probable metastati c disease, but he declinedfurther intervention. We review the literature on cutan eous angiosarcoma, and we discuss its epidemiology, presentation, tissue diagnosis , treatment, and prognosis in an effort to increase awareness of this rare mal ignan cy.
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