Cirsoid aneurysm: a clinicopathological reminder

A puzzling case of multiple asymptomatic nodules over scalp—A case report

“…CA tends to occur more often in males; here we report a case of asymptomatic scalp lesions in a female, which turned out to be CA. 5 A pulsatile mass is the most common presentation 3,6 followed by headache and tinnitus; our patient presented with multiple, asymptomatic nodules on the scalp. The most common feeding artery in CA is the superficial temporal artery, in around 70%-80% cases.…”

“…A wide variation is present in the symptoms, from merely a cosmetic concern to certain manifestations such as headache, tinnitus, enlarging mass, local pain, or bruit, and secondary hemorrhage can also occur 4 . Their presentation varies from a small subcutaneous lump to a large “bag‐of‐worms”‐like mass with a tendency to bleed following minor trauma 3 . Larger lesions of the scalp can also present with neurological disturbances 5 .…”

“…At the time of presentation, they can vary in size from a few millimeters to several centimeters 2 . By far, the most common area to be involved in CA is the scalp, but other areas and viscera can also be involved 3 . A wide variation is present in the symptoms, from merely a cosmetic concern to certain manifestations such as headache, tinnitus, enlarging mass, local pain, or bruit, and secondary hemorrhage can also occur 4 .…”

“…2 By far, the most common area to be involved in CA is the scalp, but other areas and viscera can also be involved. 3 A wide variation is present in the symptoms, from merely a cosmetic concern to certain manifestations such as headache, tinnitus, enlarging mass, local pain, or bruit, and secondary hemorrhage can also occur. 4 Their presentation varies from a small subcutaneous lump to a large "bag-of-worms"-like mass with a tendency to bleed following minor trauma.…”

“…4 Their presentation varies from a small subcutaneous lump to a large "bag-of-worms"-like mass with a tendency to bleed following minor trauma. 3 Larger lesions of the scalp can also present with neurological disturbances. 5 We report a patient with CA who presented to our outpatient department with a large nodular swelling and multiple satellite papulo-nodular lesions on the scalp.…”