Abstract
Primary hepatic angiosarcoma (PHA) is a rare malignancy, and the occurrence of a dual malignancy involving both gastric cancer (GC) and PHA is even more exceptional. Here, we present a case of a 63-year-old man who complained of hiccups. PET-CT and Abdomen & Pelvis Routine Enhanced Scan results revealed a single liver mass and thickening of the inner wall of the gastric antrum. The pathologic biopsy confirmed the presence of GC in the antrum along the greater curvature. The initial diagnosis indicated GC with solitary liver metastasis, given the rarity of PHA. The patient underwent a radical distal gastrectomy and right posterior hepatic lobectomy. Postoperative pathology revealed early GC and PHA without any signs of lymphatic or distant metastases.