Metastatic epitheloid angiosarcoma causing severe gastrointestinal bleeding

Angiosarcoma is a rare entity, comprising less than 1% of all sarcomas. Epithelioid angiosarcoma with the epithelioid appearance of their cells is a unique morphologic subtype, where the cells carry both the epithelial and the mesenchymal differentiation markers. Considering the location they arise predominantly in the deep soft tissue, but skin and visceral organs are also mentioned as primary sites. Epithelioid angiosarcoma spreads in an early phase to the lymphnodes and to the solid organs. Treatment modalities include surgical resection, radiotherapy and paclitaxel-based chemotherapy. Despite all therapeutic…