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.