Title: A Rare Case of Epithelioid Hemangioma of Orbit: A Challenge to Both Ocular Pathologist and Ophthalmologist

Authors: Soumitra Das, Abhisek Lath, Tushar Kanti Das

 DOI: https://dx.doi.org/10.18535/jmscr/v8i10.41

Abstract

Epithelioid Hemangioma is a vascular lesion with controversial etiology, divided between reactive reaction and neoplastic origin. It is mostly situated around the temporal regions of head and neck. In this case report we present a rare case of an adult male who presented with an orbital lesion which was clinicoradiologically diagnosed as dermoid but was histopathologically diagnosed as Epithelioid Hemangioma

Keywords: Epithelioid Hemangioma, orbital lesion.

References

  1. Barnes L, Koss W, Nieland ML. Angiolymphoid hyperplasia with eosinophilia: a disease that may be confused with malignancy. Head Neck Surg 1980;2:425–434.
  2. Olsen TG, Helwig            Angiolymphoid hyperplasia         with     eosinophilia.A clinicopathologic study of 116 patients. J Am Acad Dermatol1985;12:781–796.
  3. Fetsch JF, Weiss SW. Observations concerning the pathogenesis of epithelioid hemangioma (angiolymphoid hyperplasia). Mod Pathol1991;4:449–455.
  4. Rosai J, Gold J, Landy R. The histiocytoid hemangioma: a unifying concept embracing several previously described entities of skin, soft tissues,  large  vessels,  bone  and  HumPathol1979;10:707–730.
  5. Calonje JE, Fletcher CDM. Epithelioid hemangioma (angiolymphoid hyperplasia with eosinophilia). In Fletcher CDM, ed. Diagnostic Histopathology of 4th ed. Philadelphia: Elsevier Saunders, 2013:54–55.
  6. Fetsch JF. Epithelioid haemangioma. In Fletcher CDM, Bridge JA, Hogendoorn PCW, Mertens F, eds. WHO Classification of Tumours of Soft Tissue and Bone. Lyon: IARC, 2013:141–142.
  7. Chun SI, Goo H. Kimura’s disease and angiolymphoid hyperplasia with eosinophilia: clinical and histopathologic differences. J Am Acad Dermatol 1992;27:954–958.
  8. Googe PB, Harris NL, Mihm MC. Kimura’s disease and angiolymphoid hyperplasia with eosinophilia: two distinct histopathological entities. J Cutan Pathol1987;14:263–271.
  9. O’Connell JX, Kattapuram SV, Mankin HJ, et al. Epithelioid hemangioma of A tumor often mistaken for low-grade angiosarcoma  or  malignant hemangioendothelioma. Am J Surg Pathol1993;17:610–617.
  10. Fetsch JF, Sesterhenn I, Miettinen M, et al. Epithelioid hemangioma of the penis: a clinicopathologic and immunohistochemical analysis of 19 cases, with special reference to exuberant examples often confused with epithelioid hemangioendothelioma and epithelioid angiosarcoma. Am J Surg Pathol2004; 28:523–533.

Corresponding Author

Soumitra Das

Department of Pathology, R.G. Kar Medical College & Hospital