title: Angiosarcoma of the of scalp with calvarium involvement in a 50-year-old African-American man.
abstract: BACKGROUND
  Angiosarcoma of the scalp is a rare, aggressive, and deadly cancer that affects mainly elderly Caucasian men.
  
  
  OBJECTIVE
  The insidious and masquerading presentation of angiosarcoma poses enormous diagnostic challenges for primary care providers.
  
  
  METHODS
  We present a case of a 50-year-old black man referred for evaluation of a 3.7-cm-x-5.4-cm ulcerated, fluctuant scalp lesion that had failed to respond to different antibiotics and proper wound care.
  
  
  RESULTS
  Surgical excision and subsequent histopathology revealed angiosarcoma.
  
  
  CONCLUSIONS
  This case report highlights the importance of high index of suspicion for early diagnosis of cancerous lesions in wounds and stresses the need to include angiosarcoma in the differential diagnosis for all face and scalp lesions, as early detection may save lives. A comprehensive literature review is also presented.
authors.affiliation: Department of Surgery, Division of Plastic and Reconstructive Surgery, The University of Texas Medical Branch, Galveston, TX 77555-0724, USA. miobeng@utmb.edu
authors.forename: Michael K
authors.initials: MK
authors.lastname: Obeng
authors.forename: Ambrosia
authors.initials: A
authors.lastname: Hernandez
authors.forename: Amer
authors.initials: A
authors.lastname: Dastgir
authors.forename: Patrick A
authors.initials: PA
authors.lastname: Adegboyega
authors.forename: Paul
authors.initials: P
authors.lastname: Salinas
authors.forename: Dennis C
authors.initials: DC
authors.lastname: Gore
mesh_terms: D000328:Adult; D001741:Black or African American; D003399:Craniotomy; D006258:Head and Neck Neoplasms / Q000473:pathology* / Q000601:surgery; D006394:Hemangiosarcoma / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012535:Scalp; D012878:Skin Neoplasms / Q000473:pathology* / Q000601:surgery; D012886:Skull / Q000473:pathology* / Q000601:surgery