1
|
Gapizov A, Sidhu HK, Affaf M, Safdar S, Irfan R, Ekhator C, Saddique MN, Devi M, Silloca Cabana EO, Kamran M, Bellegarde SB, Hussain I. Unraveling Intravascular Lobular Capillary Hemangioma: A Comprehensive Scoping Review. Cureus 2023; 15:e45142. [PMID: 37711265 PMCID: PMC10498483 DOI: 10.7759/cureus.45142] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/12/2023] [Indexed: 09/16/2023] Open
Abstract
This scoping review focuses on intravascular lobular capillary hemangioma (ILCH), a rare and distinct subset of lobular capillary hemangioma (LCH). This study provides a comprehensive overview of ILCH, delving into its clinical characteristics, origins, pathogenesis, diagnostic methods, treatment options, and outcomes. Despite its rarity, ILCH presents unique diagnostic and management challenges due to its intravascular origin. The review emphasizes the importance of accurate differentiation from other vascular lesions and underscores the need for histopathological confirmation. This article discusses the presentation of ILCH in the reported literature. The pathogenesis remains uncertain, with factors such as trauma, inflammation, hormonal changes, and medications being considered potential contributors. Histopathological features, imaging techniques, and diagnostic tools are discussed, highlighting the distinct histological architecture of ILCHs and the importance of immunohistochemical staining for accurate diagnosis. Surgical excision is the primary approach for managing ILCH due to its potential complications, including superior vena cava (SVC) occlusion and thrombosis. This review concludes by outlining potential directions for future research, including investigating genetic and molecular mechanisms underlying ILCH development, developing targeted therapies, building patient registries for collaborative efforts, and exploring minimally invasive surgical techniques. The importance of long-term patient outcome studies and international collaborations is emphasized to enhance our understanding of this rare vascular anomaly.
Collapse
Affiliation(s)
- Abubakar Gapizov
- Department of General Surgery, American University of Antigua, St. John's, ATG
| | - Harmandeep K Sidhu
- Department of Dermatology, Dayanand Medical College and Hospital, Ludhiana, IND
- Department of Medicine and Surgery, Indira Gandhi Medical College and Hospital, Nagpur, IND
| | - Maryam Affaf
- Department of Medicine and Surgery, Women Medical and Dental College, Abbotabad, PAK
| | | | - Rabbia Irfan
- Department of Internal Medicine, Mayo Hospital, Lahore, PAK
| | - Chukwuyem Ekhator
- Department of Neuro-Oncology, New York Institute of Technology, New York, USA
| | | | - Monika Devi
- Department of Medicine, Ziauddin University, Karachi, PAK
| | | | | | - Sophia B Bellegarde
- Department of Pathology and Laboratory Medicine, American University of Antigua, St. John's, ATG
| | - Iqbal Hussain
- Department of Internal Medicine, Khyber Medical University, Peshawar, PAK
| |
Collapse
|
2
|
Sargent B, Birmingham SW, Skupsky H. Intravenous Lobular Capillary Hemangioma: A Case Report and Proposal for New Cutaneous Tender Tumor Differential Diagnosis Acronym. Cureus 2022; 14:e28030. [PMID: 36120217 PMCID: PMC9473670 DOI: 10.7759/cureus.28030] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/14/2022] [Indexed: 11/15/2022] Open
Abstract
Here, we report a case of a 70-year-old female who presented with a slowly enlarging tender nodule on the right forearm for several months. Physical examination showed a faintly blue-tinged freely mobile subcutaneous nodule. Excision was complicated by greater than expected bleeding and revealed an unexpected intravenous mass. Histopathology demonstrated capillary lobules separated by fibrous septae within a vein, consistent with intravenous lobular capillary hemangioma (IVLCH). IVLCH is a rare benign capillary proliferation of unclear etiology. Excision is typically curative and relieves any pain and discomfort the patient might be experiencing. With the addition of IVLCH, we respectfully propose a new acronym for the differential diagnosis of cutaneous tender tumors: intravenous lobular capillary hemangioma, foreign body (reaction), hidradenoma, osteoma cutis, glomus tumor, scar, fibromyxoma, leiomyosarcoma, eccrine angiomatous hamartoma, Dercum’s disease (adiposis dolorosa), piezogenic pedal papule, eccrine spiradenoma, neurilemmoma (schwannoma), calcinosis cutis, angioendotheliomatosis, leiomyoma, metastases, angiolipoma, neuroma, dermatofibroma, granular cell tumor, endometriosis, thrombus, blue rubber bleb nevus, angioma, chondrodermatitis nodularis helicis, and keloid (“IF HOGS FLED PEN, CALM AND GET BACK”). Future additions to the cutaneous tender tumor differential diagnosis may require creative additions and rearrangements to this acronym. However, continual updates will allow it to serve both clinicians and pathologists alike as a comprehensive representation of etiologies to consider for cutaneous tender tumors.
Collapse
|
3
|
Fakoory JM, Smith AL, Depeiza N. Intravascular lobular capillary hemangioma of the temporal artery. J Vasc Surg Cases Innov Tech 2022; 8:237-239. [PMID: 35493340 PMCID: PMC9046115 DOI: 10.1016/j.jvscit.2022.03.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Accepted: 03/04/2022] [Indexed: 11/26/2022] Open
Abstract
Lobular capillary hemangiomas (LCHs) are a common form of benign vascular tumors originating from the skin and subcutaneous tissues. We have described the case of a 47-year-old man who had presented with a 1-month history of a tender swelling to the right temporal region. Biopsy was performed to rule out temporal arteritis and demonstrated a subset of LCH, now formally known as intravascular LCH. We have described the occurrence of a rare subtype of LCH arising from the intravascular wall of the temporal artery. To the best of our knowledge, this is the only reported case of an intravascular LCH in the Caribbean.
Collapse
|
4
|
Ikeda K, Ichiba T, Seo K, Okazaki Y. Intravenous lobular capillary haemangioma presenting as neck discomfort associated with neck anteflexion. BMJ Case Rep 2021; 14:14/1/e237529. [PMID: 33431452 PMCID: PMC7802654 DOI: 10.1136/bcr-2020-237529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
Lobular capillary haemangioma, also known as pyogenic granuloma, is a benign vascular tumour that usually originates in the skin and mucosal membrane. It sometimes derives from the lumen of a vein and the clinical presentations are various and non-specific. A 72-year-old woman complained of a sensation of pressure in her left neck for 1 month when cooking. Her left cephalic vein was enlarged with no signs of oedema, and cervical ultrasound revealed a space-occupying lesion in the left subclavian vein. Contrast-enhanced CT and MRI revealed an intravascular tumour. This tumour was removed with operation, and histopathological examination revealed intravascular capillary haemangioma. Intravascular lobular capillary haemangioma is a rare condition that occurs in the veins of the neck and upper extremities. Intravascular tumours could cause a unique symptom, such as neck discomfort associated with neck anteflexion.
Collapse
Affiliation(s)
- Kotaro Ikeda
- Internal Medicine, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan
| | - Toshihisa Ichiba
- Emergency Medicine, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan
| | - Kazunori Seo
- Emergency Medicine, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan
| | - Yuji Okazaki
- Internal Medicine, Akiota Hospital, Yamagata-gun, Hiroshima, Japan
| |
Collapse
|
5
|
Bongiolatti S, Massi D, Maio V, Gonfiotti A, Viggiano D, Voltolini L. Venous outlet syndrome caused by capillary hemangioma of the subclavian vein. Asian Cardiovasc Thorac Ann 2018; 26:224-226. [PMID: 29444598 DOI: 10.1177/0218492318760693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
We report a case of intravenous lobular capillary hemangioma in the subclavian vein, causing venous thoracic outlet syndrome. A 32-year-old woman was referred to our unit with facial and left arm oedema. Ultrasound evaluation, computed tomography and magnetic resonance imaging showed a hypervascular mass in the middle portion of the subclavian vein, with arrest of venous flow. Through an infraclavicular approach, we excised the venous axis with the endovascular palpable tumour that extended from the axillary-subclavian junction to the jugular-subclavian junction, without reconstruction. The postoperative period was uneventful. The patient recovered well without recurrence at one year from surgery.
Collapse
Affiliation(s)
| | - Daniela Massi
- 2 Division of Pathological Anatomy, Department of Surgery and Translational Medicine, University of Florence, Italy
| | - Vincenza Maio
- 2 Division of Pathological Anatomy, Department of Surgery and Translational Medicine, University of Florence, Italy
| | | | - Domenico Viggiano
- 1 Thoracic Surgery Unit, University Hospital Careggi, Florence, Italy
| | - Luca Voltolini
- 1 Thoracic Surgery Unit, University Hospital Careggi, Florence, Italy
| |
Collapse
|
6
|
Loftus WK, Spurrier AJ, Voyvodic F, Neuhaus SJ, James CL. Intravenous lobular capillary haemangioma (pyogenic granuloma): A case report and a review of imaging findings as reported in the literature. J Med Imaging Radiat Oncol 2017; 62:217-223. [PMID: 28861947 DOI: 10.1111/1754-9485.12650] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2017] [Accepted: 07/29/2017] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Intravenous lobular capillary haemangioma (IVLCH) is a rare benign lesion with minimal published reports containing a description of its appearance at medical imaging. We present the ultrasound and MRI images of a histologically proven IVLCH and provide the first review of the imaging findings reported in the literature. METHODS The imaging findings of a case of IVLCH are presented. A PubMed search of English language articles was performed from 1966 to October 2016, and all relevant papers were reviewed. Imaging findings from those papers are summarised. RESULTS Key features on ultrasound are of a well-defined, usually hypoechoic, mass which is highly vascular. The host vein is usually apparent. MRI imaging usually shows T1 signal isointense to muscle and variable T2 signal, either isointense or of high signal relative to the vein. The lesions enhance with gadolinium. CONCLUSION Intravenous lobular capillary haemangioma has distinctive ultrasound but less consistent MRI features although radiological diagnosis should usually be possible. Review of reported cases shows that a previously described gender bias is incorrect.
Collapse
Affiliation(s)
| | | | - Frank Voyvodic
- Benson Radiology, North Adelaide, South Australia, Australia
| | - Susan J Neuhaus
- Department of Surgery, University of Adelaide, South Australia, Australia
| | - Craig L James
- Clinpath/Adelaide Pathology Partners, Kent Town, South Australia, Australia
| |
Collapse
|
7
|
Cera C, Calvagna C, Sgorlon G, Zamolo F, Pancrazio F, Adovasio R. Internal Jugular Vein Pyogenic Capillary Hemangioma: A Case Report. Ann Vasc Surg 2015; 29:361.e5-7. [DOI: 10.1016/j.avsg.2014.08.015] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2014] [Revised: 07/22/2014] [Accepted: 08/03/2014] [Indexed: 11/30/2022]
|
8
|
Brandel DW, Al-Hawary MM, Wasnik AP. Retroperitoneal lobular capillary hemangioma with synchronous ipsilateral renal cell carcinoma. ABDOMINAL IMAGING 2014; 39:1137-40. [PMID: 25237004 DOI: 10.1007/s00261-014-0142-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Lobular capillary hemangiomas (LCH) are acquired benign vascular tumors of skin and mucosal spaces of head and neck. Very few cases of LCH have been reported in the abdomen, predominantly occurring as mucosal polyps in the bowel. We present CT imaging features of solitary retroperitoneal LCH in a patient with synchronous ipsilateral renal cell carcinoma and review the available literature and imaging features in abdominal and extra-abdominal LCH. To our knowledge, there is no other case of retroperitoneal LCH available in the English literature.
Collapse
Affiliation(s)
- David W Brandel
- Division of Abdominal Imaging, Department of Radiology, University of Michigan Health System, 1500 E. Medical Center Drive, Ann Arbor, MI, 48109, USA
| | | | | |
Collapse
|
9
|
Taguchi S, Kakefuda T, Ono S, Matsuda S, Mori A, Narimatsu Y, Hasegawa I, Sato H, Tsukada J, Sugiura H, Irie R. Intravenous Lobular Capillary Hemangioma Occurring after Needle Insertion during Routine Health Checkup. Ann Vasc Dis 2013; 6:102-5. [PMID: 23641295 DOI: 10.3400/avd.cr.12.00089] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2012] [Accepted: 01/23/2013] [Indexed: 11/13/2022] Open
Abstract
Surgery was performed on a 53-year-old male patient with a painful mass in front of the elbow. The mass originally occurred after needle insertion during a routine health checkup and grew in size during a 1-year period. Intravenous tumor with arterio-venous fistula was diagnosed, and it was resected. Histopathological diagnosis of intravenous lobular capillary hemangioma was made. Occurrence of this tumor after a routine health checkup is rare. The etiology of this tumor occurring simultaneously with arteriovenous fistula is discussed.
Collapse
Affiliation(s)
- Shinichi Taguchi
- Department of Cardiovascular Surgery, Kawasaki Municipal Hospital, Kawasaki, Kanagawa, Japan
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|