Abstract： Objective To investigate the pathological and clinical features and treatment of hepatic angiosarcoma. Methods Two cases of hepatic angiosarcoma were discussed and pertinent literature were reviewed.Results Primary hepatic angiosarcoma is extremely rare. Most of the clinical cases were misdiagnosed in preoperative patients. More common clinical symptoms included right upper quadrant abdominal pain,bloating,fatigue,anorexia,weight loss and fever. Serum alpha fetoprotein (AFP) and carcino-embyronic antigen (CEA) were negative. The right diaphragm elevated in chest X-ray. The liver showed single or multiple echo-free areas of various sizes and a rich blood supply within the area. Liver showed large or multiple low-density areas and nodular edge enhancement with enhanced scan. The disease could be confirmed by biopsy or surgical pathology. The average survival period is about 5 months. Conclusion Hepatic angiosarcoma is a rare malignant tumor and the diagnosis mainly relies on the pathological and immunohistochemistry. Surgery resection,radiation and chemotherapy do not provide uptimistic outcomes.