Angiosarcoma

Malignant, infiltrative, and poorly circumscribed vascular tumor

Tumor localized in the papillary and reticular dermis

Proliferation of endothelial cells forming irregular and angulated vascular slits that anastomose and dissect collagen fibers

Angiosarcoma

Malignant, infiltrative, and poorly circumscribed vascular tumor

Tumor localized in the papillary and reticular dermis

Proliferation of endothelial cells forming irregular and angulated vascular slits that anastomose and dissect collagen fibers

Angiosarcoma

Proliferation of endothelial cells forming irregular and angulated vascular slits that anastomose and dissect collagen fibers

Angiosarcoma

Vascular spaces of variable size that anastomose

Dissection of collagen fibers

Angiosarcoma

Early angulated vascular slits

Angiosarcoma

LEGEND

  • Multiple promontory signs, which consist of a proliferation of irregular vascular slits surrounding a pre-existing vessel in the dermis, creating the characteristic appearance of a vessel protruding into an abnormal vascular slit

Angiosarcoma

LEGEND

  • Promontory sign

Angiosarcoma

LEGEND

  • Promontory sign

  • Hemosiderin granules indicative of prior erythrocyte extravasation

Angiosarcoma

Hemosiderin granules

Angiosarcoma

LEGEND

Marked nuclear pleomorphism (nuclei of varying sizes)

  • High mitotic activity

Angiosarcoma

Marked nuclear pleomorphism

Angiosarcoma

LEGEND

  • Epithelioid cells (rounded cells with larger nuclei and abundant cytoplasm)

  • Mitosis

Angiosarcoma

LEGEND

  • Presence of plasma cells