Angiosarcomul scalpului este o tumora vasculara maligna, rara, agresiva si extrem de recidivanta, ce apare de obicei la varstnici.

Pentru ca in etapele ei de evolutie, tumora imbraca aspecte clinice diferite, diagnosticul se banuieste clinic si se confirma histopatologic. De multe ori este o surpriza histopatologica. Odata diagnosticul stabilit, urmatorii factori de prognostic trebuie luati in calcul:

• precocitatea diagnosticului

• gradul de diferentiere

• gradul de invazie in profunzime

• capacitatea mare de metastazare atat pe cale limfatica cat si pe cale hamatogena

• tipul de tratament indicat

• limitele exciziei chirurgicale (atunci cand s-a decis acest tratament).

Prezentam cazuri internate si diagnosticate in clinica noastra.

In lucrarea de fata se discuta diagnosticul diferential si optiunile terapeutice, punandu-se accent pe formele clinice inselatoare.

Scopul este de a atrage inca odata atentia asupra acestei tumori agresive in speranta de a imbunatati diagnosticul precoce si rezltatele terapeutice.

The head angiosarcoma is a rare vascular malignant tumour, extremely aggressive and recurrent, which occurs usually in elderly persons.

While during the evolution phases the tumour has different clinical features, the diagnosis is clinically presumed and proved by histopathologic findings. Often is a histopathological surprise. Once the diagnosis established, following factors be taken into account:

• early diagnosis

• degree of vascular differentiation

• degree of deep invasion

• high capacity of dissemination both trough lymphatic and vascular channels

• type of treatment

• surgical excision margins (when such treatment was decided).

We present some cases, admitted and treated in our hospital. In this paper the differential diagnosis and the therapeutic approach is presented, with emphasis on the tricky clinical presentation.

The purpose is to draw once more the attention on these aggressive tumours in the hope to improve the early diagnosis and the therapeutical results.