Ann Plast Reconstr Surg | Volume 8, Issue 1 | Case Series | Open Access

Two Cases of Lobular Capillary Hemangioma in the Finger Suspected of Malignancy due to Rapid Growth

Fujioka M^1*, Koga K¹, Soeda M² and Miura S²

¹Department of Plastic and Reconstructive, Clinical Research Center and National Hospital Organization Nagasaki Medical Center, Japan
²Department of Pathology, Clinical Research Center and National Hospital Organization Nagasaki Medical Center, Japan

^*Correspondance to: Fujioka Masaki 

Abstract

Lobular capillary hemangioma is a benign vascular tumor that occurs in tissues such as the skin and mucous membranes, and it is sometimes difficult to distinguish from a malignant tumor in terms of its clinical course and appearance. We present two cases of lobular capillary hemangioma that rapidly grew over a period of less than one month, raising suspicions of malignancy. Case 1 was a 50-year-old man who developed a tumor with bleeding in a nail bed, which rapidly grew to 2.0 cm × 2.0 cm over a month. Immediate partial biopsy revealed inflammatory granulation tissue. Three weeks later, the mass had further enlarged to 4.0 cm × 2.5 cm, so excisional biopsy was performed, and it was diagnosed as lobular capillary hemangioma. Case 2 was a 79-year-old man who had an easily bleeding tumor at a fingertip that had appeared one month earlier and rapidly grown to 1.0 cm × 1.0 cm. He underwent an excisional biopsy and received a diagnosis of lobular capillary hemangioma. In case 1, accurate diagnosis could not be made because the preoperative partial biopsy was inadequate. We also discuss precautions for preoperative biopsy of lobular capillary hemangioma

Keywords:

Biopsy; Lobular capillary hemangioma; Pyogenic granuloma; Finger; Rapid growth

Citation:

Fujioka M, Koga K, Soeda M, Miura S. Two Cases of Lobular Capillary Hemangioma in the Finger Suspected of Malignancy due to Rapid Growth. Ann Plast Reconstr Surg. 2024; 8(1): 1116..