A rare case of ‘histiocytoid haemangioma’ of the hand

• Published in: Journal of plastic, reconstructive & aesthetic surgery Vol. 66; no. 11; pp. e318 - e320
• Main Authors: Accardo, Giuseppe, Nele, G, Turrà, F, La Rusca, I, Schonauer, F
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ltd 01.11.2013
• Subjects: Adult; Angiolymphoid hyperplasia with eosinophilia; Hand - pathology; Hand tumour; Hemangioma - diagnostic imaging; Hemangioma - pathology; Hemangioma - surgery; Histiocytoid haemangioma; Humans; Male; Plastic Surgery; Radiography; Soft Tissue Neoplasms - diagnostic imaging; Soft Tissue Neoplasms - pathology; Soft Tissue Neoplasms - surgery; Tumour-like lesion; Hand tumour; Angiolymphoid hyperplasia with eosinophilia; Tumour-like lesion; Histiocytoid haemangioma
• ISSN: 1748-6815; 1878-0539
• DOI: 10.1016/j.bjps.2013.04.027

Summary Histiocytoid haemangioma has been identified by Rosai in 1979 as a group of vascular tumour-like lesions. This lesion can occur in a wide variety of sites. Surgical excision is the treatment of choice. We present the case of a 35-year-old man with a swelling in the thenar region of his right hand. Preoperative X-rays, magnetic resonance imaging (MRI) and angio-computed tomography (angio-CT) demonstrated a lesion invading the radial digital artery to the index finger without any bone erosion. It was excised ‘ en bloc ’ with the artery itself. The radial digital nerve to the index finger and the main digital artery to the thumb were preserved. No local recurrence was observed at the 3-year follow-up. Histiocytoid haemangioma of the hand is a rare disease, and patients should undergo early surgical treatment to achieve complete excision of the lesion without any functional deficit.