Angiosarcoma of the Temporal Region: A Case Report / 대한이비인후과학회지

ABSTRACT

Angiosarcoma is a rare malignant vascular tumor that most commonly arises in the skin and superficial soft tissues of the head and neck. It accounts for less than 1% of all sarcomas, and 50% of these lesions occur in the head and neck. There are some clinical characteristics, such as insidious presentation, multifocal nature, aggressive behavior and poor prognosis. We report a case of angiosarcoma in a temporal region. A 75-year-old man presented with a 2-month history of left bloody otorrhea. Previously, he had two operations for the left chronic otitis media at a local clinic. After the second operation, bloody otorrhea began and was not controlled. We conducted revision canal wall down operation again, but failed to control bloody otorrhea. Biopsy was performed at the posterior portion of the open cavity. Histologic examination showed necrosis and atypical vascular proliferation, consistent with angiosarcoma.