Hemangioendothelioma of the lower lip masquerading as traumatic lesion: a rare case report and review of literature

Apurva Chouksey, Pratiksha Pawar, Satyajit Tekade, Shishir Dubey, Ameya Bihani, Shubhanshi Kangloo, Michael Prakasam
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Abstract

Hemangioendothelioma (HE) is an uncommon vascular tumor originating from endothelial cells lining blood vessels that can manifest in various anatomical locations, including the oral cavity. The spectrum varies from Intermediate between entirely benign hemangiomas to highly malignant angiosarcomas. Generally epithelioid HE (EHE), variants have a low degree of malignancy, with a tendency to local relapse but a less metastatic potential. Here we describe a rare case of epitheloid hemangiendothelioma, asymptomatic soft pinkish growth in the lower lip of a 65 years old Female, an excisional biopsy was performed and confirmed by histopathological diagnosis. This report adds valuable insight to the uncertainty in selecting the most suitable treatment with dilemma in management. A wide excision is the treatment of choice with regular follow-up is advised as potential for high recurrence.
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伪装成外伤性病变的下唇血管内皮瘤:罕见病例报告和文献综述
血管内皮瘤(Hemangioendothelioma,HE)是一种不常见的血管肿瘤,起源于血管内膜的内皮细胞,可发生在不同的解剖部位,包括口腔。其病变范围介于完全良性血管瘤和高度恶性血管肉瘤之间。一般来说,上皮样血管瘤(EHE)变体的恶性程度较低,有局部复发的倾向,但转移潜力较小。在此,我们描述了一例罕见的上皮样血管内皮瘤病例,该病例为一名 65 岁女性,下唇出现无症状的粉红色软增生,进行了切除活检并经组织病理学诊断证实。该报告为选择最合适的治疗方法时的不确定性和管理上的两难困境提供了宝贵的见解。广泛切除是首选的治疗方法,由于复发率高,建议定期随访。
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