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A Clinical Aid in Recognizing Head and Neck Angiosarcomas

Maryam M. Asgari, MD, MPH; Clay J. Cockerell, MD; Sarah Weitzul, MD

Arch Dermatol. 2007;143(1):75-77.

Background  Cutaneous angiosarcoma is a rare, life-threatening tumor that is often initially misdiagnosed. This delay in diagnosis can affect tumor growth, metastatic potential, and prognosis.

Observations  We describe the "head-tilt maneuver," which highlights the vascular nature of these lesions and can be of potential benefit in early recognition and better appreciation of the clinical extent of this tumor.

Conclusion  Early recognition and aggressive management of these tumors can afford the best opportunity for cure.

Author Affiliations: Department of Dermatology, University of Texas Southwestern Medical Center, Dallas (Drs Asgari, Cockerell, and Weitzul); and Division of Research, Kaiser Permanente Northern California, Oakland (Dr Asgari).