case_images: PMC8270714_01
case_images: (a) Right nasal sidewall of patient's angiosarcoma. (b) Left nasal sidewall of patient's angiosarcoma.
case_images: CRIONM2021-8823585.001.jpg
case_images: PMC8270714_01_CRIONM2021-8823585.001.jpg
case_images: fig1
case_images: On exam, there were several hyperpigmented patches with papules extending to the right nasal sidewall and a 4 mm flesh-colored papule on the right cheek (Figure 1(a)). There is a 10 cm fungating verrucous plaque with central ulceration and friable areas on the left nasal sidewall extending to the left cheek (Figure 1(b)).
case_images: H&E staining of patient's left facial angiosarcoma.
case_images: CRIONM2021-8823585.002.jpg
case_images: PMC8270714_01_CRIONM2021-8823585.002.jpg
case_images: fig2
case_images: Results returned as angiosarcoma as seen in (Figure 2).
case_images: CT neck with contrast imaging of left nasal mass.
case_images: CRIONM2021-8823585.003.jpg
case_images: PMC8270714_01_CRIONM2021-8823585.003.jpg
case_images: fig3
case_images: He was staged with a CT maxillofacial, CT neck, CT chest, CT abdomen and pelvis, and MRI brain (Figure 3).
case_images: CT chest with contrast imaging of right hilar mass.
case_images: CRIONM2021-8823585.004.jpg
case_images: PMC8270714_01_CRIONM2021-8823585.004.jpg
case_images: fig4
case_images: III (T1b, N1M0). Incidentally, a right hilar lung mass and node were found (Figure 4).
case_images: CT with contrast imaging of liver metastasis (arrow).
case_images: CRIONM2021-8823585.005.jpg
case_images: PMC8270714_01_CRIONM2021-8823585.005.jpg
case_images: fig5
case_images: In April 2018, restaging scans showed an interval decrease of the right hilar mass but a new nonspecific T10 sclerotic lesion, three new hepatic lesions, and a new left adrenal gland lesion, all concerning for metastasis (Figure 5).