Composite hemangioendothelioma of the oral cavity: Case report and review of the literature

✍ Scribed by Massimo Fasolis; Caterina Iaquinta; Maria Cristina Montesco; Paolo Garzino-Demo; Paolo Tosco; Giulia Tanteri; Elena Bonandini; Vito Ninfo; Sid Berrone

• Publisher: John Wiley and Sons
• Year: 2008
• Tongue: English
• Weight: 419 KB
• Volume: 30
• Category: Article
• ISSN: 1043-3074
• DOI: 10.1002/hed.20761

✦ Synopsis

Abstract

Background

Composite hemangioendothelioma is a rare histopathologic feature, which is part of the hemangioendothelioma family. This is a heterogeneous group of vascular neoplasiae with a high tendency to local relapse but a rare predisposition to metastatic spread. Composite hemangioendothelioma mainly affects adults and is usually localized in the distal extremity of the limbs. To date, only 1 case has been detected in the oral cavity.

Methods

A case of composite hemangioendothelioma in a 38‐year‐old man is reported. The lesion was localized in the left cheek vestibular mucosa. It was surgically excised with a 1‐cm safety margin. Reconstruction was performed with a platysma myocutaneous flap.

Results

At present, the patient is free from recurrence. The aesthetic and functional outcomes are satisfactory.

Conclusion

This case demonstrates how a composite hemangioendothelioma histological diagnosis can be difficult to achieve. Furthermore, therapy must be surgical and excision should be wide. © 2008 Wiley Periodicals, Inc. Head Neck, 2008