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Keywords:

  • composite hemangioendothelioma;
  • oral cavity;
  • vascular neoplasia;
  • angiosarcoma;
  • differential diagnosis

Abstract

Background

Composite hemangioendothelioma is a rare histopathologic feature, which is part of the hemangioendothelioma family. This is a heterogeneous group of vascular neoplasiae with a high tendency to local relapse but a rare predisposition to metastatic spread. Composite hemangioendothelioma mainly affects adults and is usually localized in the distal extremity of the limbs. To date, only 1 case has been detected in the oral cavity.

Methods

A case of composite hemangioendothelioma in a 38-year-old man is reported. The lesion was localized in the left cheek vestibular mucosa. It was surgically excised with a 1-cm safety margin. Reconstruction was performed with a platysma myocutaneous flap.

Results

At present, the patient is free from recurrence. The aesthetic and functional outcomes are satisfactory.

Conclusion

This case demonstrates how a composite hemangioendothelioma histological diagnosis can be difficult to achieve. Furthermore, therapy must be surgical and excision should be wide. © 2008 Wiley Periodicals, Inc. Head Neck, 2008