Intravascular Papillary Endothelial Hyperplasia in Foot Adherent to a Saphenous Nerve Branch: A Case Report

Sang Hyeong Lee; Chang Hee Kim; Seung Hyo Jung

doi:10.14193/jkfas.2014.18.3.129

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Lee, Kim, and Jung: Intravascular Papillary Endothelial Hyperplasia in Foot Adherent to a Saphenous Nerve Branch: A Case Report

Case Report

J Korean Foot Ankle Soc 2014;18(3):129-132.

Published online: 19 September 2014

DOI: https://doi.org/10.14193/jkfas.2014.18.3.129

Intravascular Papillary Endothelial Hyperplasia in Foot Adherent to a Saphenous Nerve Branch: A Case Report

Sang Hyeong Lee, Chang Hee Kim, Seung Hyo Jung

Department of Orthopaedic Surgery, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang, Korea

Corresponding Author: Sang Hyeong Lee Department of Orthopaedic Surgery, Dongguk University Ilsan Hospital, 27 Dongguk-ro, Ilsandong-gu, Goyang 410-773, Korea Tel: 82-31-961-7296, Fax: 82-31-961-7290, E-mail: drlsh@hanmail.net

Received 30 March 201421 April 2014 Accepted 29 May 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Intravascular papillary endothelial hyperplasia (IPEH) has appeared in the literature under a variety of names, including Masson’s tumor, Masson’s hemangioma, and Masson’s pseudoangiosarcoma. It is a benign lesion of the skin and subcutaneous tissue characterized by reactive proliferation of vascular endothelial cells with papillary formations. The clinical picture is not specific and the lesion resembles malignant angiosarcoma clinically and histopathologically. Therefore, it is often mistaken for angiosarcoma and a group of other benign and malignant vascular lesions. We report on a case of IPEH adherent to peripheral nerve treated with operative excision.

Keywords: Foot, Vascular endothelial cells, Saphenous nerve

REFERENCES

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Figure 1.

Photograph shows a protruding mass lesion on dorsomedial aspect of right foot.

Figure 2.

Plain radiograph shows a round soft tissue lesion on medial aspect of medial cuneiform. There is no bony erosion or calcification.

Figure 3.

Ultrasonography shows an ovoid-shape, 2.2×0.7×1.4 cm size cystic mass on dorsomedial aspect of right foot. Sagittal (A) and Axial (B).

Figure 4.

The mass is connected to the branch of saphenous nerve proximally and distally.

Figure 5.

Photograph shows a dark-reddish cystic mass of 2×1×1 cm size.

Figure 6.

Pathologic features. (A) Myriad small delicate papillae project into the vascular lumen. The papillae are composed of a single layer of vascular endothelium surrounding a stromal core (H&E stain, ×100). (B) The vascular endothelium of papillae is well demonstrated by positive (brown) immunohistochemical reaction to CD31 antibody (immunohistochemistry stain, ×100).

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