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Retiform hemangioendothelioma treated with conservative therapy: report of a case and review of the literature
Author(s) -
Nobeyama Yoshimasa,
Ishiuji Yozo,
Nakagawa Hidemi
Publication year - 2016
Publication title -
international journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.677
H-Index - 93
eISSN - 1365-4632
pISSN - 0011-9059
DOI - 10.1111/ijd.12908
Subject(s) - medicine , hemangioendothelioma , surgery , surgical excision , dermatology , radiology
Background Retiform hemangioendothelioma (RH) is a locally aggressive vascular tumor. Wide surgical excision with tumor‐free margins is the standard treatment strategy. However, surgical excision is not an option for lesions near critical anatomical structures, such as those on the face. We report the case of a patient with retiform hemangioendothelioma that responded to non‐surgical treatments. Methods We describe the case of a 72‐year‐old male patient with a retiform hemangioendothelioma on the face that responded to a combination of pulsed dye laser, local corticosteroid injection, and application of imiquimod cream. In addition, we reviewed past case reports of patients with retiform hemangioendothelioma. Results Thirty‐five cases that describe the management of RH, including the present case, have been reported. Review of the cases indicate a relatively low disease‐free survival rate in cases that underwent surgical excision as the initial therapy for retiform hemangioendothelioma. Conclusion Surgical excision might not be the best therapeutic option. Local control with conservative therapy is an acceptable strategy for lesions in anatomical regions including the face.