Epithelioid angiosarcoma of the trachea

A 81-year-old man presented with massive hemoptysis and dyspnea. Results of chest radiography and computer tomography were highly suspicious for a lar ge right-sided tumor of the bronchus with impression of the right main bron chus. Because of clinical worsening the patient was transferred to our depa rtment of pulmonology. The patient died of unappeasable hemoptysis the next day. At autopsy we found a 2-cm-diameter tumor of the proximal trachea as the source of massive bleeding and blood aspiration. Histological examinati on confirmed the tumor to be an epithelioid angiosarcoma of the trachea, wh ich was a primary as no other tumor manifestation was detected. The entity of epithelioid angiosarcoma as a primary tumor of the trachea, to our knowl edge, has not yet been reported.