This is a case report of a 20-year-old woman who had primary angiosarc
oma of the left breast, with metastases to the spleen and ovary, Eight
months after detecting a mass in her breast, she underwent mastectomy
with biopsy of the ipsilateral axillary lymph nodes, splenectomy and
bilateral oophorectomy, Five months after the operation, the patient s
uccumbed to lung metastases. Angiosarcoma of the breast is a rare cond
ition with a poor prognosis, and there are no established chemotherape
utic regimens as yet. Immunohistochemical staining for endoglin, known
to be expressed mainly on the surface of endothelial cells, was posit
ive. This suggests the possibility of treating angiosarcoma with anti-
endoglin monoclonal antibodies.