PMC8270714_01
(a) Right nasal sidewall of patient's angiosarcoma. (b) Left nasal sidewall of patient's angiosarcoma.
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On exam, there were several hyperpigmented patches with papules extending to the right nasal sidewall and a 4 mm flesh-colored papule on the right cheek (Figure 1(a)). There is a 10 cm fungating verrucous plaque with central ulceration and friable areas on the left nasal sidewall extending to the left cheek (Figure 1(b)).
H&E staining of patient's left facial angiosarcoma.
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Results returned as angiosarcoma as seen in (Figure 2).
CT neck with contrast imaging of left nasal mass.
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He was staged with a CT maxillofacial, CT neck, CT chest, CT abdomen and pelvis, and MRI brain (Figure 3).
CT chest with contrast imaging of right hilar mass.
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III (T1b, N1M0). Incidentally, a right hilar lung mass and node were found (Figure 4).
CT with contrast imaging of liver metastasis (arrow).
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In April 2018, restaging scans showed an interval decrease of the right hilar mass but a new nonspecific T10 sclerotic lesion, three new hepatic lesions, and a new left adrenal gland lesion, all concerning for metastasis (Figure 5).