Angiosarcoma in HIV-negative patients is not associated with HHV-8

Familial Cutaneous Angiosarcoma of the Head

Abstract is missing (Short communication)

Vaginal epithelioid angiosarcoma: A literature review of a rare entity in an unusual site

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Often asymptomatic, hidden location and present late.

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Radiation is a well-recognised cause of any angiosarcoma irrespective of the anatomic site.

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Management can only be generalised from reported angiosarcomas of the uterus, cervix, and ovary.

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Treatment includes external radiation and intracavitary brachytherapy after surgical excision.

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Follow-up is required to assess efficacy as the prognosis remains poor even with early intervention.

We describe an extremely rare case of a 66-year-old woman with a vaginal epithelioid angiosarcoma. She presented with constitutional symptoms, pelvic pain, vaginal bleeding, and a violaceous vaginal lesion. A thorough gynaecological examination, tissue biopsy and imaging were crucial to establish an accurate diagnosis. With only 3 other cases reported in the literature, epithelioid angiosarcoma of the vagina seem to present late due to their nonspecific presentation and secluded location. Once diagnosed, optimal treatment is difficult to determine and together with the overly aggressive behaviour of these tumours, they are associated with a poor prognosis. To our knowledge, our case study and systematic literature review is the first to compare the management outcomes of epithelioid subtype angiosarcomas of the vagina. The rarity of this pathology contributes to diagnostic difficulties and lack of consensus regarding treatment of angiosarcomas of the vagina.