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Retiform hemangioendothelioma with lymph node metastasis: a rare entity
Bhawna Bhutoria1, Abantika Konar, Sudipta Chakrabarti
1Department of Pathology, N. R. S. Medical College, 138 AJC Bose Road, Kolkata 700 014, India. bbhutoria@gmail.com
Indian Journal of Dermatology, Venereology and Leprology
|January 28, 2009
Summary
Retiform hemangioendothelioma (RH) is a rare vascular tumor. This case highlights a unique instance of RH in an adult female with regional lymph node metastasis and multiple recurrences.
Area of Science:
- Vascular Oncology
- Dermatopathology
Background:
- Retiform hemangioendothelioma (RH) is a rare, low-grade angiosarcoma.
- It is characterized by arborizing blood vessels resembling rete testis.
- Typically originates in skin and subcutaneous tissue with a propensity for local recurrence.
Observation:
- This report details an unusual case of RH in an adult female.
- The patient presented with a subcutaneous nodule and experienced multiple local recurrences.
- The tumor uniquely metastasized to a regional lymph node.
Findings:
- This case represents only the second documented instance of lymph node metastasis in RH.
- The findings underscore the potential for distant spread despite the tumor's low-grade classification.
- Histopathological analysis confirmed the characteristic retiform vascular pattern.
Implications:
- This case expands the understanding of RH's metastatic potential.
- It suggests the need for vigilant monitoring for metastasis in RH patients.
- Further research into the behavior and treatment of RH is warranted.
