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x A 77 year old srilankan male presented with a circumscribed, erythematous scalp lesion with central ulceration of 5 weeks duration. A punch biopsy revealed an anastomosing network of irregular vascular channels lined by atypical cells, which stained positively for endothelial markers. Histopathology was consistent with an angiosarcoma. This rare and aggressive tumour metastasizes early, particularly to the lung. The variable clinical presentation of this tumour often leads to delay in diagnosis.