Areeba Aqeel, Muhammad Jamaluddin, Shahmeen Aqeel.
Recurrent Angiosarcoma on the Back in a young Male: a Case Report.
Ann Abbasi Shaheed Hosp Karachi Med Dent Coll Jan ;24(4):245-8.

Angiosarcoma is a malignant disease of inner lining of the blood vessel which can occur at any age and anywhere in the body like skin, liver, breast, bone, soft tissues cardiac tissues and after radio-therapy or from chronic lymphatic obstruction. It usually occurs between 60-70 years of age1. In this case, it occurred in a young male, which was previously excised but recurrence occurred and presented as a lump of 20 +- 15 cm, which was non tender, gradually increasing in size, firm in consistency however other systemic findings were unremarkable. Hematological work up was done which was within normal limits. Ultrasound Doppler of swelling showed multiple vascular channels with fat and soft tissue suggestive of a hemangioma. Excision and biopsy were done under general anaesthesia and histopathology report showed fibro-fatty tissue with vascular malformation. In view of recurrence it suggested angiosarcoma, which is treated by surgery followed by chemotherapy and its definitive diagnosis can only be made by biopsy.

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