Case Report - Lethal midline granuloma - epitheloid angiosarcoma face

Angiocentric immunoproliferative and locally destructive lesions involving the midface, nasal cavity, paranasal sinuses and / or the upper aerodigestive tract have been referred to in the past as lethal midline granuloma. This includes neoplastic, infective, vasculitic and idiopathic midline destructive disease. We report such a case of neoplastic origin which presented with necrotising lesion of the mid-face involving the right orbit and the nasal bridge. Histologically, it was proved to be angiosarcoma and was treated with chemotherapy.