Epithelioid Hemangioma of the Nose: A Challenging Diagnosis

Schönauer, Fabrizio; Cavaliere, Annachiara; Pezone, Giuseppe; Calogero, Armando; Sagnelli, Caterina; Sica, Antonello; D’Andrea, Luca; Baldo, Antonello

doi:10.3390/healthcare10040633

Cited by 3 publications

(3 citation statements)

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“…However, surgical excision of EH involving medium or large vessels presents the risk of massive intraoperative bleeding. Therefore, proper preoperative angiography and embolization of feeding vessels can minimize intraoperative bleeding and confirm the existence of collateral blood supply to distal organs dependent on blood supply from vessels susceptible to transection during the excision [ 1 ]. Although EH is classified as a benign vascular tumor per the World Health Organization's (WHO) 2002 Classification [ 5 ], reported recurrence rates range between 33% and 40% [ 8 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…An epithelioid hemangioma (EH), also known as angiolymphoid hyperplasia with eosinophilia (ALHE), is a rare benign vascular lesion of uncertain pathogenesis most commonly affecting superficial small vessels within the dermis and subcutaneous tissue. EH typically presents as a dermatologic small superficial vascular lesion of bright or dusky red papules or nodule [ 1 - 3 ]. EH incidence is greater in females than males and is more prevalent in the Asian female population during the third and fourth decades of life [ 1 , 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…EH typically presents as a dermatologic small superficial vascular lesion of bright or dusky red papules or nodule [ 1 - 3 ]. EH incidence is greater in females than males and is more prevalent in the Asian female population during the third and fourth decades of life [ 1 , 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Epithelioid Hemangioma of the Popliteal Artery: A Case Report

Alexander Martinez,

Sathya Prakash,

Sanghvi

et al. 2024

Cureus

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An epithelioid hemangioma (EH) is a rare benign vascular lesion that is usually seen in superficial small vessels within the dermis and subcutaneous tissue. Intravascular epithelioid hemangiomas of large and medium-sized vessels are rare, and only a handful of cases have been reported in the literature. Intravascular epithelioid hemangiomas are biologically benign and best treated by complete surgical excision. On occasion, lesions have been associated with aneurysmal changes in the affected vessel. Local recurrence may occur, and close clinical follow-up is advised. Herein, we report the second case in the literature of an EH originating from the popliteal artery. A 57-year-old male patient presented with a one-month history of knee pain without claudication. Imaging highlighted a right popliteal aneurysm, 5x5 cm, with partial distal thrombosis and inadequate outflow. The patient subsequently underwent popliteal artery ligation above and below the aneurysm, reconstructed with a superficial femoral artery (SFA) to distal anterior tibial artery (ATA) reverse saphenous vein bypass graft. Patient recovery was complicated by the development of a 5x5 cm right-sided mid-thigh hematoma, requiring evacuation under anesthesia. A post-one-year arterial duplex of the affected limb demonstrated a recurrent enlarging popliteal aneurysm measuring 5.7x4.8x9.1 cm. The aneurysm was reported to be mostly thrombosed with noted vascularity, but patency of the original bypass was noted. The patient underwent excision of the recurrent aneurysm with subsequent ligation of the feeding arteries. Pathology and histology confirmed the final diagnosis of EH of the popliteal artery. An 18-month follow-up after the excision procedure demonstrated no recurrence of vascular lesion and patency of the original bypass graft.

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