Cutaneous epithelioid hemangioendothelioma presented as an ulcerated areolar mass

Abstract

Differential diagnosis of traumatic neuroma in a histopathological aspect includes palisaded encapsulated neuroma (PEN), schwannoma and neurofibroma. It is difficult to differentiate from PEN, but traumatic neuroma has more haphazardly arranged nerve fascicles and is embedded in a fibrous stroma other than PEN.2 Currently, laser surgery is frequently used to treat variable skin diseases including warts. A relatively high recurrence rate of warts has been reported after laser therapy. 4 We hypothesized that the patient's finger nerves were damaged during laser ablation for viral warts, and then multiple traumatic neuromas were formed by nerve proliferation due to a recovery reaction from the damaged terminal nerve. To the best of our knowledge, there is only one case report of solitary traumatic neuroma in the lower lip after laser ablation of mucocele in the English-language published work. 5 We report a very rare case of multiple traumatic neuromas after laser therapy for warts.ACKNOWLEDGMENTS:

Epithelioid Hemangioendothelioma arising from nasal cavity: A Rare Case

“…Clinical diagnosis is difficult in EHE as the only symptom is progressively enlarging, cutaneous, tender, solitary skin colored mass next to a vessel course 6 . However the cutaneous manifestation may be variable such as solitary, multiple, eruptive, and ulcerative skin lesions 7,8,9,10 . The differential diagnosis for EHE include hemangioma, pyogenic granuloma, angiomyoma, epithelioid sarcoma, hemangioendothelioma and epithelioid angiosarcoma.…”

Cutaneous epithelioid hemangioma mimicking infected montgomery tubercle

“…Amongst the differential diagnosis, first is Kimura disease [3,4]. Though used as synonyms previously, Kimura disease typically presents as a subcutaneous nodule in young male, in the preauricular or submandibular region.…”

A rare case of intravascular epithelioid hemangioendothelioma of the cephalic vein treated with surgery and postoperative radiation therapy: a case report and review of the literature

“…EHE can affect all vascularized tissues in any site, but most frequently involves superficial or deep soft tissues, bones [ 31 , 32 ] and visceral organs, in particular the liver [ 33 ] and lungs [ 34 , 35 ]. Cases of EHE have been described in almost all sites such as the skin [ 36 , 37 ], central nervous system [ 38 - 40 ], meninges [ 41 ], lips [ 42 ], gingiva [ 43 , 44 ], middle ear [ 45 ], thyroid gland [ 46 ], salivary glands [ 47 ], paranasal sinuses [ 48 , 49 ], breast [ 50 ], pleura [ 51 - 53 ], lymph nodes [ 54 ], mediastinum [ 55 , 56 ], heart [ 57 - 61 ], retroperitoneum [ 62 ], ileum [ 63 - 65 ], peritoneum [ 66 ], testis [ 67 ], bladder [ 68 , 69 ], penis [ 70 ], vulva [ 71 ], and so on. In 10% of cases the disease is multifocal [ 72 ].…”