Soft tissue tumors in the upper extremity can present challenging problems. Intravascular papillary endothelial hyperplasia may be misdiagnosed as angiosarcoma by inexperienced surgeons and pathologists. Four cases of this infrequent tumor in its most frequent location, the hand, are presented. Although the characteristic microscopic appearance confirms the definitive diagnosis, the clinical history and behavior may help to identify the lesion. We describe the clinical and pathological features of these four vascular hand tumors. It must be recognized as being a benign lesion to avoid unnecessary treatment. However, the importance of wide excision to reduce the risk of recurrence is stressed since this occurred in two of the four cases presented.
European Journal of Plastic Surgery – Springer Journals
Published: Oct 23, 2002
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