Spindle Cell Hemangioma Reoccurrence in the Hand: Case Report

Gray, Sylvia S.; Eltorky, Mahmoud; Riascos, Roy; Montilla, Richard D.

doi:10.1007/s11552-012-9397-1

Cited by 3 publications

(6 citation statements)

References 38 publications

(90 reference statements)

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“…1,2,4 Recurrence after excision is very common: higher than 50% to 60% in 1 study. 7 The masses may present at any age, with a slight male predominance found in 1 study. 4 …”

Section: Discussionmentioning

confidence: 66%

“…3,6 Masses present primarily in distal extremities. 3,6,7 Typically, nodules slowly increase in size or number over the course of years. Pathologically, these nodules are characterized by large, dilated endothelial-lined vascular spaces with thin-walled vessels partially filled with organized thrombi and fascicles of relatively uniform spindle cells.…”

Section: Discussionmentioning

confidence: 99%

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Spindle Cell Hemangioendothelioma

Flood

McKee

Lalonde

2017

Plastic Surgery Case Studies

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In this case study, a 33-year-old male presented initially to our clinic in 1989 with a soft tissue mass on his left posterior chest wall that had previously been debulked 3 times beginning in 1973. Pathology from these previous excisions confirmed a spindle cell hemangioendothelioma. Following the previous excisions, the mass recurred and slowly increased in size but did not cause any serious functional effects. At the patient's first clinical visit with our plastic surgery team in 1989, we offered radical surgical resection of the mass, which was the standard of practice at the time. He declined radical resection. We have followed the patient clinically for over 26 years. Since presentation, the mass has not metastasized or caused any local functional problems.

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“…1,2,4 Recurrence after excision is very common: higher than 50% to 60% in 1 study. 7 The masses may present at any age, with a slight male predominance found in 1 study. 4 …”

Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Spindle Cell Hemangioendothelioma

Flood

McKee

Lalonde

2017

Plastic Surgery Case Studies

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“…Although it is primarily a benign tumor, there are suggestions that multifocal symptomatic cases can become malignant. The recurrence rate is greater than 50%, with wide excision being recommended [3,4]. Harrison et al reported on a 22-year-old male who developed a tumor on his entire ring finger following blunt trauma [7].…”

Section: Discussionmentioning

confidence: 99%

“…Despite embolization, there was no improvement, leading to a ray amputation [7]. Gray et al described a case where a hand SCH recurred 14 years after simple excision [3]. After wide excision, the patient had a good postoperative course with no recurrence [3].…”

Section: Discussionmentioning

confidence: 99%

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A Rare Case of Spindle Cell Hemangioma in the Palmar Region

Yamazaki,

Matsuura,

Ohtori

2023

Cureus

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Spindle cell hemangioma (SCH) is an exceptionally uncommon vascular neoplasm, primarily manifesting on the extremities. This article delves into a singular case of a 20-year-old female presenting with erythema and discomfort in the left palm, diagnosed with SCH. Post-consultation with a dermatologic neoplasm consortium, she underwent a comprehensive excision, followed by a bi-phasic skin graft. Despite non-clear surgical perimeters, the patient, five years post-procedure, has experienced neither re-emergence nor functional encumbrance. The discussion emphasizes the notable recurrence propensity of SCH, with a historical recurrence rate surpassing 50%, and underscores the importance of an interdisciplinary strategy, enduring surveillance, and bespoke therapeutic decisions for management. The paper concludes by advocating for augmented research and expansive case compilations to enhance therapeutic paradigms for such atypical vascular lesions.

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Low-Flow Vascular Malformation Pitfalls: From Clinical Examination to Practical Imaging Evaluation—Part 2, Venous Malformation Mimickers

Olivieri

White

Restrepo

et al. 2016

American Journal of Roentgenology

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Venous malformations are congenital endothelial malformations secondary to errors in vascular morphogenesis and are usually diagnosed in the first 2 decades of life. The clinical and imaging features of venous malformations often overlap those of other pathologic entities, creating diagnostic confusion. Furthermore, the clinical presentation and imaging appearance of venous malformations can vary, making the diagnosis challenging. Thorough knowledge of the various clinical and imaging features not only of venous malformations but also of the major potential mimic lesions is crucial for clinicians caring for patients with these lesions.

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Spindle Cell Hemangioma Reoccurrence in the Hand: Case Report

Cited by 3 publications

References 38 publications

Spindle Cell Hemangioendothelioma

Spindle Cell Hemangioendothelioma

A Rare Case of Spindle Cell Hemangioma in the Palmar Region

Low-Flow Vascular Malformation Pitfalls: From Clinical Examination to Practical Imaging Evaluation—Part 2, Venous Malformation Mimickers

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