A congenital purplish tumour

An ethnic Bengali baby boy presented at birth with a purplish tender lesion on the medial side of his right knee (figure 1A). In the following weeks, the lesion remained stable in size. An ultrasound scan showed a solid mass, slightly heterogeneous, with a vascular pole but no bone involvement (figure 1B). Figure 1 (A) Clinical presentation at diagnosis. (B) An ultrasound shows a solid, moderately vascularised and slightly heterogeneous mass, with a vascular pole but no bone involvement. What is your diagnosis? 1. Congenital haemangioma 2. Vascular malformations 3. Infantile myofibroma 4. Malignant tumours 5. Tufted angioma The correct answer is E. Tufted angioma (TA) represents a benign vascular tumour that may be congenital, acquired, sporadic or hereditary.1 It usually occurs during infancy or early childhood on the neck, trunk or upper extremities.2 It appears as a dusky red, violaceous solitary tumour or infiltrating plaque, sometimes …