Head and Neck Surgery Department, Portuguese Institute of Oncology Francisco Gentil, Lisbon, Portugal.
Division of Health Sciences, University of Edinburgh, Edinburgh, United Kingdom.
Cancer Rep (Hoboken). 2022 Oct;5(10):e1659. doi: 10.1002/cnr2.1659. Epub 2022 Jul 12.
Cutaneous angiosarcoma (AS) of the head and neck is a rare highly aggressive tumor, often associated with difficult local control of the disease and poor prognosis. This article describes a case of multifocal cutaneous AS of the scalp, mainly addressing its difficult surgical management and challenging reconstruction and concludes with a review of the literature.
A 70-year-old Caucasian male was referred to our hospital with a growing scalp lesion initially suspected to be benign, but later diagnosed with AS.
The patient had tumor recurrence and a difficult reconstruction for which dermal substitutes proved very useful.
AS can mimic a benign lesion in its early stages. Skin substitutes, namely dermal templates, can be useful to meet the complex needs of reconstruction and oncological surveillance of patients with AS.
头颈部皮肤血管肉瘤（AS）是一种罕见的高度侵袭性肿瘤，常伴有疾病局部控制困难和预后不良。本文描述了一例头皮多灶性皮肤 AS，主要探讨其手术治疗困难和重建具有挑战性，并对文献进行回顾。
一名 70 岁的白人男性因头皮逐渐增大的病灶被转诊至我院，最初怀疑为良性病变，但后来诊断为 AS。
患者肿瘤复发，重建困难，真皮替代物在这方面非常有用。
AS 在早期阶段可能类似于良性病变。皮肤替代品，即真皮模板，可用于满足 AS 患者的重建和肿瘤监测的复杂需求。
