Shabbir Hussain Ashiq Ali, Mohammad Jawaid Akhtar Mallick, Ayesha Javed, Abdul Hafeez Lakhan.
Primary angiosarcoma of neck nodes with bony metastasis - A case report.
J Pak Med Assoc Jan ;66(7):901-2.

This is a case of a 30 year old female who presented in February 2012with a large painless left neck swelling since 5 months. Her biopsy was done but the result was inconclusive. Later on after proper staging workup it was found to be bony metastatic disease. Her repeated biopsy showed spindle cell lesion. Shewas advised surgery,which was done revealing poorly differentiated angiosarcoma involving 27 out of 33 lymph nodes. Angiosarcoma is an uncommon malignant neoplasm characterized by rapidly proliferating, extensively infiltrating anaplastic cells derived fromblood vessels and lining irregular blood-filled spaces. Cutaneous angiosarcoma of the scalp and face is the most common form of angiosarcoma. Angiosarcoma of the cervical lymph node without a primary scalp or oral cavity lesion is a very rare presentation and has been reported only once. Thus, this case reported with bony metastasis can be labeled as the first of its kind.

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