Cutaneous angiosarcoma arising over rhinophyma: an unusual variant of lymphoedema-associated angiosarcoma?

Abstract

Cutaneous angiosarcoma is a rare tumour with a poor prognosis. When arising on a phymatous nose, its diagnosis can be difficult, delaying treatment and resulting in metastasis. Our case report highlights red flags such as oedema, ulceration, unresponsiveness to conventional rosacea treatments or bluish vascular structures at dermoscopy that should prompt biopsy to rule out malignancy.