Composite hemangioendothelioma of the oral cavity: Case report and review of the literature
Article first published online: 19 FEB 2008
Copyright © 2008 Wiley Periodicals, Inc.
Head & Neck
Volume 30, Issue 7, pages 974–979, July 2008
How to Cite
Fasolis, M., Iaquinta, C., Montesco, M. C., Garzino-Demo, P., Tosco, P., Tanteri, G., Bonandini, E., Ninfo, V., Berrone, S. (2008), Composite hemangioendothelioma of the oral cavity: Case report and review of the literature. Head Neck, 30: 974–979. doi: 10.1002/hed.20761
- Issue published online: 9 JUN 2008
- Article first published online: 19 FEB 2008
- Manuscript Accepted: 31 AUG 2007
- composite hemangioendothelioma;
- oral cavity;
- vascular neoplasia;
- differential diagnosis
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.
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.
At present, the patient is free from recurrence. The aesthetic and functional outcomes are satisfactory.
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