Classical KS mostly occurs multiple and bilaterally. Purple-blue or red-brown nodules and plaques formed in the extremities tend to coalesce over time. In a recent study [4], it was reported that 70% of the lesions are localized in the lower extremities. Classical KS progresses slowly. In our case, the lesions were limited to the lower extremities and developed over a long period of time. There are two types of approaches, local and systemic, in the treatment of classical KS. However, there is no curative treatment. Local treatment methods include surgery, intralesional vinblastine, topical retinoid injection, cryotherapy, and radiotherapy. Factors such as the extent, location, and rate of clinical change of lesions are determinative in the choice of local treatment [6] Rapidly progressive KS is characterized by the development of 10 or more new cutaneous lesions per month. In addition, pulmonary KS, symptomatic visceral involvement and lymphedema are indications for systemic chemotherapy. Although the first choice chemotherapy agents for KS are pegylated liposomal doxorubicin and paclitaxel, cytotoxic agents may cause significant side effects, especially in elderly patients [6]. Classical KS is different from our case. It mostly occurs in elderly male patients. Treatment options vary according to clinicians' experience and disease stage. For patients with limited extent and in the early stages, observation without treatment or local treatments are preferred. Classical KS is very sensitive to radiotherapy. Radiation therapies are an appropriate treatment option for patients presenting with multifocal but relatively localized KS [7]. In elderly patients with limited lesions, only follow-up without specific treatment is also an option [8]. For our case, five cycles of cryotherapy were applied at two-week intervals. If deemed necessary for some persistent lesions, it was considered to be evaluated together with Oncology in terms of applying radiotherapy.