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A rare histological variant of CA is the epithelioid variant angiosarcoma (EA). This neoplasm subtype arises mainly in deep soft tissues, however, cases with purely and primarily cutaneous involvement have been reported [4]. Like other angiosarcomas, EA presents as erythematous or violaceous lesions. They are usually ill-defined, infiltrative hemorrhagic tumors. Concerning CA prognosis, tumor necrosis and epithelioid cytomorphology are associated with a worse clinical outcome [5].

Cutaneous epithelioid angiosarcoma of the head and neck. A case report of an unusual aggressive entity with limited treatment options