Angiosarcoma of the face resembling rhinophyma

Area of Science:

• Dermatology
• Oncology
• Pathology

Background:

• Rhinophyma is a benign nasal condition characterized by enlarged sebaceous glands.
• Cutaneous angiosarcoma is a rare and aggressive cancer originating from blood vessels.

Observation:

• A 69-year-old man presented with a nasal lesion initially diagnosed as rhinophyma.
• The lesion persisted and grew despite undergoing laser treatment.

Findings:

• Histopathological and immunohistochemical analyses confirmed the lesion as cutaneous angiosarcoma.
• The clinical presentation mimicked rhinophyma, an atypical presentation for angiosarcoma.

Implications:

• This case underscores the importance of considering cutaneous angiosarcoma in the differential diagnosis of persistent, growing nasal lesions.
• Rhinophyma-like morphology can represent an unusual clinical manifestation of cutaneous angiosarcoma, necessitating thorough investigation.