Blackmon Joseph, Rajpara Anand, Patel Vikas, Gilroy Richard, Aires Daniel, Fraga Garth
Kansas Medical Center, Department of Medicine, Division of Dermatology, Kansas City, Kansas; the University of Missouri-Kansas City School of Medicine, Kansas City, Missouri; the University of Kansas Medical Center, Department of Medicine, Division of Hepatology; and the University of Kansas Medical Center, Department of Pathology and Laboratory Medicine, Kansas City, Kansas, USA.
Exp Clin Transplant. 2014 Jun;12(3):269-72. doi: 10.6002/ect.2013.0042. Epub 2014 Jan 10.
Angiosarcoma is a rare malignant neoplasm of vascular endothelial cells. A majority are primarily in the skin. Angiosarcoma of the head and neck is the most common form, but only constitutes 0.1% of all head and neck malignancies. We present an extraordinary case of a 71-year-old man 6 months status postorthotopic liver transplant secondary to end-stage liver disease from cryptogenic cirrhosis, who presented to the liver clinic with a rapidly growing scalp tumor and hypodense lesions within the liver. Further work-up and biopsies confirmed the first documented case of primary scalp angiosarcoma with metastasis to the liver in an orthotopic liver transplant patient.