Excision of Masson’s Haemangioma Following Suspected Liposarcoma on Imaging
Published: April 1, 2018 | DOI: https://doi.org/10.7860/JCDR/2018/25498.11412
Jayan George, Duncan Meikle, Andrew Whitfield, Susan Hill
1. Academic Clinical Fellow Specialty Trainee, Department of General Surgery, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom.
2. Foundation Doctor, Department of General Surgery, University Hospital Wales, Cardiff, United Kingdom.
3. Medical Student, Department of General Surgery, Sheffield Medical School, Sheffield, United Kingdom.
4. Consultant Vascular Surgeon, Department of General Surgery, University Hospital Wales, Cardiff, United Kingdom.
Correspondence
Dr. Jayan George,
24, Audrey Gardens, Sheffield, United Kingdom.
E-mail: jayan.george@aol.com
Lipomas are commonly seen in general practice. Lipomas of large size should be investigated for the possibility of a soft tissue sarcoma. Intravascular papillary endothelial hyperplasia (Masson’s haemangioma) is a benign non-neoplastic vascular lesion that can mimic soft tissue sarcomas and can lead to an incorrect diagnosis. We report a case of a 60-year-old male artist who had an 8×8 cm swelling of his left mid-scapular region, without history of injury or trauma. Ultrasound and Magnetic Resonance Imaging (MRI) were suggestive of a lipoma or a liposarcoma. Tissue biopsy revealed fibrous tissue with a dense capillary network suspicious of a vasoformative lesion. The patient was discussed in the sarcoma multidisciplinary team and a surgical excision was decided. At the time of wide local excision, a haematoma and thrombosed veins were seen. Histology revealed a Masson’s haemangioma.
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