Cutaneous Vascular Anomalies – Epithelioid Hemangioendothelioma

Epithelioid Hemangioendothelioma is a cutaneous vascular anomaly that I only rarely encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Epithelioid Hemangioendotheliomas can be viewed as a skin lesion that behaves both clinically and histologically between a hemangioma and an angiosarcoma (malignant).  Clinically, an Epithelioid Hemangioendothelioma begins as a red/purple nodule that slowly grows on the legs or arms.  Most patients affected are male and under the age of 25.  Treatment involves wide surgical excision and evaluation of lymph nodes as this is the most common site of metastasis.  Chemotherapy and radiation are used in some patients.