Cutaneous tumours of vascular origin: two rare entities


  • Annu E. Prakash Department of Pathology, Sree Narayana Institute of Medical Sciences, Ernakulam, Kerala, India
  • Gopalan Sulochana Department of Pathology, Pushpagiri Institute of Medical Sciences, Tiruvalla, Kerala, India
  • Thundiparampil Thankappan Department of Dermatology, Pushpagiri Institute of Medical Sciences, Tiruvalla, Kerala, India
  • Annamma M. Oommen Department of Pathology, Pushpagiri Institute of Medical Sciences, Tiruvalla, Kerala, India



Epithelioid angiosarcoma, Immunohistochemistry, Malignant vascular tumours, Skin tumours, Verrucous hemangioma, Vascular neoplasms


Skin and subcutaneous tissue are the most common location of benign and malignant vascular tumors. The benign or malignant nature of the lesion may not always be identified clinically because of the varying presentations. The histology of the lesion, especially in malignancies may not exhibit definite vascular pattern.  In such cases, clinical presentation has to be correlated with histopathological picture as well as immunohistochemical characteristics to reach a specific diagnosis. Judicious use of immunohistochemical markers proves to be invaluable.  Two rare cases of cutaneous vascular tumors which presented at our institution are cited, the diagnosis of which involved correlation of these modalities.


Calonje JE, Fletcher CDM. Vascular Tumours. In: Fletcher CDM. Diagnostic Histopathology of Tumors. Vol 1. 4th ed. Philadelphia, PA: Elsevier Saunders; 2013:70-71.

Hart J, Mandavilli S. Epithelioid Angiosarcoma. A Brief Diagnostic Review and Differential Diagnosis. Arch Pathol Lab Med. 2011;135(2):267-72.

Sakamoto A, Takahashi Y, Oda Y, Iwamoto Y. Aggressive clinical course of epithelioid angiosarcoma in the femur: a case report. World J Surgical Oncol. 2014;12:281.

Muzumder S, Das P, Kumar M, Bhasker S, Sarkar C, Medhi K, et al. Primary epithelioid angiosarcoma of the breast masquerading as carcinoma. Current Oncol. 2010;17(1):64.

Halter K. Haemangioma verrucosum mit Osteoatrophie. Dermatol.1937;75(5):271-9.

Imperial R, Helwig EB. Verrucous hemangioma: A clinicopathologic study of 21 cases. Arch Dermatol. 1967; 96:247-53.

Koc M, Kavala M, Kocatürk E, Zemheri E, Zindanci I, Sudogan S, et al. An unusual vascular tumor: verrucous hemangioma. Dermatol Online J. 2009;15(11).

Mestre T, Amaro C, Freitas I. Verrucous haemangioma: a diagnosis to consider. Case Reports. 2014;2014.

Kaliyadan F, Dharmaratnam AD, Jayasree MG, et al. Linear verrucous hemangioma. Dermatol Online J 2009;15:15.

França ER, Gurgel A, Campos T, Souza JA, França K, Azevedo R. Verrucous hemangioma. Bras Dermatol. 2006;81(5):S290-2.




How to Cite

Prakash, A. E., Sulochana, G., Thankappan, T., & Oommen, A. M. (2019). Cutaneous tumours of vascular origin: two rare entities. International Journal of Research in Medical Sciences, 7(3), 952–954.



Case Reports