Cutaneous Vascular Anomalies – Epithelioid Hemangioendothelioma

December 8th, 2013

Epithelioid Hemangioendotheliomas are a very rare cutaneous vascular anomaly that I rarely encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically and histologically, it has features that range between a hemangioma and an angiosarcoma.  They began as a single slow growing red to purple nodule on the arms and legs.  Typically, patients who develop Epithelioid Hemangioendotheliomas are younger than 25.  Treatment involves wide local excision and regional lymph node biopsy as metastasis usually first occurs in the lymph nodes.

Epitheloid Hemangioendothelioma