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679
[Spindle-shaped hemangioma: an unusual location]
Fatima Zahra Nasreddine1, Bouchra Baghad1, Soumiya Chiheb1
1Service de Dermatologie CHU Ibn Rochd, Casablanca, Maroc.
The Pan African Medical Journal
|September 20, 2016
Summary
Spindle cell hemangioma is a benign vascular tumor typically found on extremities. This report details a rare case with unusual locations, emphasizing its distinction from malignant tumors.
Area of Science:
- Dermatology
- Pathology
- Oncology
Background:
- Spindle cell hemangioma (SCH), previously termed spindle cell hemangioendothelioma, is a benign vascular neoplasm.
- Initially described in 1986, advancements in immunohistochemistry have clarified its benign nature, differentiating it from low-grade angiosarcoma.
- SCH predominantly affects the dermis of the distal extremities.
Observation:
- This report presents the first documented case of SCH occurring in the scapular, breast, thigh, and mandibular regions.
- Previous literature documented only nine cases of SCH in the head and neck area.
- The patient presented with multiple, unusual SCH locations.
Findings:
- The patient underwent an excisional biopsy for the diagnosed spindle cell hemangioma.
- Histopathological examination confirmed the benign vascular nature of the tumor.
- Immunohistochemical studies were crucial in distinguishing SCH from potentially malignant vascular tumors.
Implications:
- This case expands the known anatomical distribution of spindle cell hemangioma.
- Recognizing SCH in atypical locations is critical to avoid misdiagnosis as a malignant tumor.
- The favorable outcome following surgical excision highlights the importance of accurate diagnosis and appropriate management.

