Malignant Angiosarcoma Masquerading as Benign Epithelioid Hemangioma

In this report, we describe a case of healthy 67-year-old female with rapidly growing red nodules on the scalp that demonstrated histological features benign epithelioid hemangioma multiple instances yet behaved clinically as malignant angiosarcoma. Despite rounds resection, radiation, and chemotherapy, patient ultimately succumbed from her widely metastatic disease. Diagnosis vascular neoplasms, including spectrum low-grade hemangioma, intermediate-grade hemangioendothelioma, high-grade angiosarcoma remains challenging due to overlapping clinical histopathological features. This report is presented highlight need for clinicians interpret histopathology, whether or malignant, in context observation course may not always match biopsy.