Objective To explore the imaging features and related histopathological features of angiosarcoma in order to improve the recognition and diagnosis of angiosarcoma.Methods The clinical and imaging findings of 4 cases of primary angiosarcoma confirmed by pathology were analyzed retrospectively and the literatures were reviewed and summarized.Results Of the 4 cases of angiosarcoma,3 cases showed mass type,1 case showed diffuse nodule type,the mass type showed centripetal or centrifugal enhancement,diffuse nodule type showed circular enhancement,and 1 case had metastasis at the time of discovery.Conclusion The clinical,imaging and pathological manifestations of angiosarcoma had certain characteristics,and the diagnosis rate could be improvided in combination with clinical data.