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J Hand Microsurg 2021; 13(03): 164-168
DOI: 10.1055/s-0039-3401381
Case Report

Intravascular Papillary Endothelial Hyperplasia: Case Report of a Recurrent Masson’s Tumor of the Finger and Review of Literature

Hannah Jia Hui Ng
1   Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore, Singapore
,
Brenton Ruiqin Sio
1   Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore, Singapore
,
Vijayadwaja Desai
2   Department of Laboratory Medicine, Khoo Teck Puat Hospital, Singapore, Singapore
,
Kian Ming Chew
3   Department of Diagnostic Radiology, Khoo Teck Puat Hospital, Singapore, Singapore
,
Vaikunthan Rajaratnam
1   Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore, Singapore
› Author Affiliations Funding None.
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Abstract

Intravascular papillary endothelial hyperplasia (IPEH), often referred to as Masson’s Tumor, is an uncommon yet benign vascular disease of the skin and subcutaneous tissues. It usually arises within a blood vessel, but is considered to be a non-neoplastic reactive endothelial proliferation commonly associated with vascular injury. Although it is rare, knowledge of this disease is important as it may mimic other benign and malignant tumors, especially angiosarcoma, which may lead to unnecessary aggressive management. Typically, IPEHs are asymptomatic and are slow growing soft-tissue masses with extremely low-recurrence rates. In this article, we describe a 19-year-old male with a recurrence of Masson’s Tumor over the right little finger within 2 months of a routine excision of the lesion. We also present accompanying multimodality clinical, radiological, and pathological imaging. This case illustrates the innocuous nature of the initial lesion easily mistaken for a hemangioma. Awareness of the possibility of a recurrence of a Masson’s Tumor is important for clinicians to rule out the presence of malignant vascular lesions.

Keywords

Masson’s Tumor - intravascular papillary endothelial hyperplasia - finger - recurrence


Publication History

Article published online:
16 January 2020

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