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2008, Number 2

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Cir Plast 2008; 18 (2)

Kaposiform hemangioendothelioma

Gutiérrez SE, Ortiz LJB, Argüelles CJ
Full text How to cite this article

Language: Spanish
References: 4
Page: 68-71
PDF size: 182.15 Kb.


Key words:

Recidivating hemangioendothelioma, Kasabach-Merritt syndrome, cutaneous distraction.

ABSTRACT

Kaposiform hemangioendothelioma is an aggressive and rare tumor. Although it seems a benign tumor from a histological perspective, it has a high mortality without treatment. A complete exploration of the skin may show telangiectasis or equimosis, key to suspect Kasabach-Merritt syndrome. Images with magnetic resonance show a tumor with badly delimited edges with high tissue infiltration. The blood vessels that nurture or drain the tumor are comparatively scarce compared to common hemangiomas. Histology regards this with Kaposi sarcoma and shows a lobulillar infiltration of endothelial cells. A 13 year-old female with a highly aggressive and infiltrated lesion in the right elbow is presented. Hemangioendothelioma was reported in the study in histopathology. Resection and reconstruction were performed with convergent cutaneous distraction with Steinman wires. The patient evolved with tumor recidivating, and required upper limb amputation up to the third medium of the humerus.


REFERENCES

  1. Enjolras O, Wassef M, Mazoyer E, Frieden IJ, Rieu PN, Drouet L et al. Infants with Kasabach-Merritt syndrome do not have “true” hemangiomas. J Pediatr 1997; 130: 631-640.

  2. Sarkar M, Mulliken JB, Kozakewich HPW, Robertson RL, Burrows PE. Thrombocytopenic coagulopathy (Kasabach-Merritt phenomenon) is associated with kaposiform hemangioendothelioma and not with common infantile hemangiomas. Plast Reconstr Surg 1997; 100: 1377-1385.

  3. Metry DW, Hebert AA. Benign cutaneous vascular tumors of infancy. When to worry, what to do. Arch Dermatol 2000; 136: 905-914.

  4. Zukerberg LR, Nickoloff BJ. Kaposiform hemangioendothelioma of infancy and childhood: An aggressive neoplasm associated with Kasabach-Merritt syndrome and lymphangiomatosis. Am J Surg Pathol 1993; 17: 321-328.




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Cir Plast. 2008;18