Epithelioid Hemangioma of Nasal Tip.

Byeon, Jun Hee; Choi, Moon Seop

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2003;30(2):245-248.
Published online March 1, 2003.

Epithelioid Hemangioma of Nasal Tip.

Jun Hee Byeon, Moon Seop Choi

Department of Plastic Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea. byeon@catholic.ac.kr

Abstract

Epithelioid hemangioma was firstly described by Enzinger and Weiss. It belongs to a group of unusual vascular proliferation accompanying prominent eosinophilic infiltration and synonymous with angiolymphoid hyperplasia with eosinophilia(ALHE). Histopathologically, the lesion is characterized by localized, marginated and relatively symmetrical proliferation of capillaries around a medium-sized vessel with an epithelioid hyperplasia of endothelial cell and marked infiltration of inflammatory cells, eosinophils and lymphocytes. The lesion occurs usually in the dermal and subcutaneous tissue of the head and neck area. We report a case of epithelioid hemangioma occuring on the nasal tip in a 72-years-old man. Microscopically, the lesion consisted of a proliferating vessels surrounded by inflammatory infilatration predominantly composed of eosinophils and lymphocytes. But vessels were lined by conventional-appearing endothelial cells.

Keywords: Epithelioid hemangioma; Angiolymphoid hyperplasia with eosinophilia; Nasal tip