Angiosarcomas are malignant cutaneous vascular anomalies that I occasionally encounter in both my The Woodlands and Conroe dermatology offices. The most common setting of an Angiosarcoma is an elderly patient developing a red/purple nodule or patch on their head or neck region. Angiosarcomas are most common in men. Over time, Angiosarcomas become larger and may bleed easily as well as develop satellite nodules. Patients may develop a low platelet count at the beginning of Angiosarcoma metastasis. Angiosarcomas may also arise in previous skin areas that have received radiation treatment and on extremities that have long standing lymphadema (swelling). Treatment typically involves wide surgical excision, radiation therapy, and chemotherapy.
