Cutaneous Angiosarcoma of the Scalp Mimicking Facial Cellulitis

Because of our initial impression of left neck lymphadenitis with facial cellulitis, the patient was administered parenteral amoxicillin and clavulanic acid. Because this intervention did not resolve the complaint, the patient underwent magnetic resonance imaging (MRI), which showed skin thickening, septation of the subcutaneous fat, and thickening of the superficial fascia (figure, B). According to some reports, free surgical margins can be achieved in only 20 to 30% of all cases; the recurrence rate is approximately 75%.4 Most studies recommend surgery with postoperative wide-field radiotherapy as optimal.