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Dutra MJ, Anbinder AL, Pereira CM, Chiliti BA, Rocha AC, Kaminagakura E. Report of intraosseous intravascular papillary endothelial hyperplasia associated with an odontogenic cyst in the maxilla and literature review. Diagn Pathol 2024; 19:80. [PMID: 38867285 PMCID: PMC11167849 DOI: 10.1186/s13000-024-01505-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2024] [Accepted: 05/31/2024] [Indexed: 06/14/2024] Open
Abstract
Intravascular papillary endothelial hyperplasia (IPEH) represents an uncommon reactive endothelial hyperplastic proliferation. A 46-year-old man experienced increased volume in the right maxilla, elevation of the nasal ala, and swelling of the hard palate with a reddish hue for 3 months. Computed tomography revealed an expansive hypodense region and cortical bone destruction associated with an impacted supernumerary tooth and an endodontically treated tooth. Under the differential diagnoses of a radicular cyst, dentigerous cyst, and ameloblastoma, an exploratory aspiration and incisional biopsy were performed. This revealed the formation of blood vessels of various diameters lined by endothelium, forming intravascular papillae positive for CD-34. The definitive diagnosis was IPEH, and the patient was treated by embolization and surgery. Histological analysis confirmed the presence of IPEH associated with an odontogenic cyst. After 12 months of follow-up, no recurrence was observed. Also, we reviewed case reports of IPEH affecting the maxilla and mandible. Fourteen intraosseous cases were reported in the maxilla and mandible, with a preference for males and affecting a wide age range. Complete surgical excision was the treatment of choice, and recurrences were not reported. The pathogenesis of IPEH is controversial and may originate from trauma or inflammatory processes. To the best of our knowledge, this is the first report of an association of IPEH with an odontogenic cyst. The importance of IPEH in the differential diagnosis of intraosseous lesions in the jaws is emphasized, and preoperative semiotic maneuvers are needed to prevent surgical complications.
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Affiliation(s)
- Mateus José Dutra
- Institute of Science and Technology, Department of Biosciences and Oral Diagnosis, São Paulo State University (UNESP), São José dos Campos Av. Engenheiro Francisco José Longo Avenue, 777/778, Jardim São Dimas, São José dos Campos, SP, 12245000, Brazil
| | - Ana Lia Anbinder
- Institute of Science and Technology, Department of Biosciences and Oral Diagnosis, São Paulo State University (UNESP), São José dos Campos Av. Engenheiro Francisco José Longo Avenue, 777/778, Jardim São Dimas, São José dos Campos, SP, 12245000, Brazil
| | - Christyan Moretti Pereira
- Oral and Maxillofacial Surgery and Traumatology Service, Hospital das Clínicas of the University of São Paulo Medical School, São Paulo, Brazil
| | - Beatriz Afonso Chiliti
- Oral and Maxillofacial Surgery and Traumatology Service, Hospital das Clínicas of the University of São Paulo Medical School, São Paulo, Brazil
| | - André Caroli Rocha
- Oral and Maxillofacial Surgery and Traumatology Service, Hospital das Clínicas of the University of São Paulo Medical School, São Paulo, Brazil
| | - Estela Kaminagakura
- Institute of Science and Technology, Department of Biosciences and Oral Diagnosis, São Paulo State University (UNESP), São José dos Campos Av. Engenheiro Francisco José Longo Avenue, 777/778, Jardim São Dimas, São José dos Campos, SP, 12245000, Brazil.
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Othman F, Anantha S, Ward GH, Paulus E, Romaguera R. A Rare Instance of Chronic Masson's Tumor Presenting in the External Auditory Meatus and Surgical Plan: A Case Report. Cureus 2023; 15:e50314. [PMID: 38205451 PMCID: PMC10777616 DOI: 10.7759/cureus.50314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/10/2023] [Indexed: 01/12/2024] Open
Abstract
Intravascular papillary endothelial hyperplasia (IPEH), or Masson's tumor, is a rare and benign proliferation of endothelial cells typically of vascular origin. Common locations of Masson's tumor include the head, neck, orbit, lip, pharynx, and mandible. It is typically seen in middle-aged adult life and females. Possible differential diagnoses include hemangioma, benign vascular formation, angiosarcoma, and neurofibromatosis. The exact pathophysiology of Masson's tumor is currently unknown. We present the case of a middle-aged 47-year-old male with a pure type of Masson's tumor presenting with pedunculated, malleable lesions across the posterior scalp and circumferential neck, on the pinna of the right ear, and within the right external auditory meatus. The lesions within the right external auditory meatus caused conductive hearing loss. The plan is a complete surgical excision without wide margins. The patient was referred to an ear, nose, and throat (ENT) surgeon due to the complicated location of the lesion within the external auditory meatus. This case serves as a differential diagnosis of conductive hearing loss complicated by Masson's tumor.
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Affiliation(s)
- Feras Othman
- General Surgery, University of Miami, Miami, USA
| | | | - Gavin H Ward
- School of Medicine, St. George's University School of Medicine, True Blue, GRD
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Pandiar D, Krishnan RP, Behera A, Ramani P. Intravascular Papillary Endothelial Hyperplasia of Buccal Mucosa Masquerading as Mucocele - A Case Report. Indian J Dent Res 2023; 34:445-447. [PMID: 38739829 DOI: 10.4103/ijdr.ijdr_258_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Accepted: 08/08/2023] [Indexed: 05/16/2024] Open
Abstract
INTRODUCTION Oral intravascular papillary endothelial hyperplasia (IPEH) is a rare entity with only 105 cases reported so far. Labial and buccal mucosa are the commonly affected sites. These sites are coincidently subjected to continuous minor trauma, which led the researchers to opine that IPEH could have a traumatic etiology with a further role of fibroblast growth factors. CLINICAL PRESENTATION We report a case of IPEH of right buccal mucosa in a 35 years old South Indian male who clinically presented as mucocele. Histopathologically, multiple lesions were found. Immunohistochemical and histochemical findings have also been presented. DISCUSSION The case is supported by a plausible mechanism involved in the pathogenesis. Thus, IPEH must be included in the clinical differential diagnosis of oral mucoceles and hemangioma. TAKEAWAY LESSONS Being a reactive lesion, it does not require extensive treatment. Clinicians and histopathologists must be aware of this uncommon yet benign condition for appropriate therapy.
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Affiliation(s)
- Deepak Pandiar
- Department of Oral Pathology and Microbiology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
| | - Reshma Poothakulath Krishnan
- Department of Oral Pathology and Microbiology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
| | - Aklesha Behera
- Department of Oral Pathology and Microbiology, Coorg Institute of Dental Sciences, Virajpet, Coorg District, Karnataka, India
| | - Pratibha Ramani
- Department of Oral Pathology and Microbiology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
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Cho CF, Liu YH, Lin JC. Intravascular Papillary Endothelial Hyperplasia (Masson's Tumor) of the Submandibular Gland: A Case Report. EAR, NOSE & THROAT JOURNAL 2023; 102:640-644. [PMID: 34112010 DOI: 10.1177/01455613211016707] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Intravascular papillary endothelial hyperplasia (IPEH), a rare benign endothelial vascular lesion related to thrombosis, generally develops in fingers, trunk, head, and neck. Nevertheless, it has been rarely reported in the salivary gland. In this article, we report a case of IPEH of the right submandibular gland in a 37-year-old female whose initial impression was sialadenitis secondary to sialolithiasis. To date, our case may be the first well-documented report of IPEH in the submandibular gland. The patient underwent ablation of the submandibular gland, and no evidence of recurrence was found during follow-up.
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Affiliation(s)
- Chin-Fang Cho
- Department of Otorhinolaryngology-Head and Neck Surgery, Kaohsiung Veterans General Hospital, Kaohsiung
| | - Yu-Hsi Liu
- Department of Otorhinolaryngology-Head and Neck Surgery, Kaohsiung Veterans General Hospital, Kaohsiung
| | - Jung-Chia Lin
- Department of Pathology and Laboratory Medicine, Kaohsiung Veterans General Hospital, Kaohsiung
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Atherton K, Hinen H. Vascular Anomalies. Dermatol Clin 2022; 40:401-423. [DOI: 10.1016/j.det.2022.06.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Vieira CC, Gomes APN, Galdino Dos Santos L, de Almeida DS, Hildebrand LC, Flores IL, Dos Santos JN, Schuch LF, Vasconcelos ACU. Intravascular papillary endothelial hyperplasia in the oral mucosa and jawbones: A collaborative study of 20 cases and a systematic review. J Oral Pathol Med 2020; 50:103-113. [PMID: 33188642 DOI: 10.1111/jop.13127] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 09/21/2020] [Accepted: 09/24/2020] [Indexed: 12/14/2022]
Abstract
BACKGROUND Intravascular papillary endothelial hyperplasia is an unusual vascular lesion characterized by the proliferation of endothelial cells. The aim of this study was to determine the frequency and general features of this lesion. METHODS Biopsy records of three oral pathology services were reviewed for intravascular papillary endothelial hyperplasia cases from 1959 to 2020. In addition, a systematic review of case reports and case series was carried out in eight electronic databases. RESULTS Of the 65 205 retrieved cases, 20 (0.03%) were diagnosed as intravascular papillary endothelial hyperplasia. Mean patient age was 46.55 years, and females (12 cases/60%) were more affected. The lower lip (9 cases/47.36%) was the most commonly affected site, and the lesions were generally asymptomatic (7 cases/63.63%). Clinically, 90% of the lesions presented (18 cases) as a nodule, with a mean size of 1.13 cm. The clinical diagnostic hypotheses most frequently raised were mucocele (6 cases/37.50%) and hemangioma (5 cases/31.25%). An excisional biopsy was chosen in all cases for treatment. Forty-nine studies of the systematic review were included, yielding 105 cases. The literature showed similarity in all variables. CONCLUSION Despite the uncommon frequency, clinicians and oral pathologists should familiarize themselves with the similarities between intravascular papillary endothelial hyperplasia and some other lesions in terms of clinical and histological features.
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Affiliation(s)
- Carolina Clasen Vieira
- Diagnostic Center for Oral Diseases, School of Dentistry, Universidade Federal de Pelotas, Pelotas, Brazil
| | - Ana Paula Neutzling Gomes
- Diagnostic Center for Oral Diseases, School of Dentistry, Universidade Federal de Pelotas, Pelotas, Brazil
| | - Laylla Galdino Dos Santos
- Diagnostic Center for Oral Diseases, School of Dentistry, Universidade Federal de Pelotas, Pelotas, Brazil
| | - Douglas Silva de Almeida
- Diagnostic Center for Oral Diseases, School of Dentistry, Universidade Federal de Pelotas, Pelotas, Brazil
| | - Laura Campos Hildebrand
- Department of Conservative Dentistry, Oral Pathology area, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Isadora Luana Flores
- Department of Conservative Dentistry, Oral Pathology area, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Jean Nunes Dos Santos
- Department of Pathology, Postgraduate Program in Dentistry and Health, School of Dentistry, Universidade Federal da Bahia, Salvador, Brazil
| | - Lauren Frenzel Schuch
- Department of Oral Diagnosis, Piracicaba Dental School, Universidade de Campinas, Piracicaba, Brazil
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Nwokolo V, Veeramachaneni R, Rivas SD. Vulvar intravascular papillary endothelial hyperplasia or Masson's tumor: A case report. Case Rep Womens Health 2020; 28:e00250. [PMID: 32874931 PMCID: PMC7451632 DOI: 10.1016/j.crwh.2020.e00250] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2020] [Accepted: 08/12/2020] [Indexed: 11/04/2022] Open
Abstract
Masson's tumor, also known as intravascular papillary endothelial hyperplasia (IPEH), is a rare and benign vascular disease in which there is a reactive hyperplasia of intravascular endothelial cells. This tumor is most commonly found in soft tissues in the head, neck and upper extremities. We report a rare case of IPEH on the vulva. A Hispanic woman in her mid-thirties presented with a painful and pruritic left vulvar mass. On physical examination, a pedunculated mass was visualized on the left labia majora. Under pathologic examination, it was concluded the lesion was IPEH and it was surgically excised. This is a rare case of IPEH located on the vulva. However, despite this rarity, a simple local excision could be used to manage IPEH. Masson's tumor, also known as intravascular papillary endothelial hyperplasia (IPEH), is a rare and benign vascular disease. IPEH is most commonly found in soft tissues in the head, neck and upper extremities. The tumor is best treated with complete surgical resection.
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Affiliation(s)
- Vania Nwokolo
- University of Texas Rio Grande Valley School of Medicine, Edinburg, TX, United States of America
| | | | - Saul D Rivas
- University of Texas Rio Grande Valley School of Medicine, Edinburg, TX, United States of America.,Doctor's Hospital at Renaissance, Edinburg, TX, United States of America
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Mirmohammadsadeghi H, Mashhadiabbas F, Latifi F. Huge central intravascular papillary endothelial hyperplasia of the mandible: a case report and review of the literature. J Korean Assoc Oral Maxillofac Surg 2019; 45:180-185. [PMID: 31508349 PMCID: PMC6728626 DOI: 10.5125/jkaoms.2019.45.4.180] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2018] [Revised: 11/27/2018] [Accepted: 12/20/2018] [Indexed: 01/23/2023] Open
Abstract
Masson's tumor or intravascular papillary endothelial hyperplasia is an inflammatory soft tissue lesion that rarely occurs in the maxillofacial region and skeletal system. Precise clinical and para-clinical investigation is necessary for the accurate diagnosis and correct treatment of this lesion. This paper presents a massive intravascular papillary endothelial hyperplasia lesion in the bony tissue of the mandible. Histopathology features, clinical appearance, and suitable management are discussed, with a complete review of the literature. The patient underwent composite resection of the lesion as well as reconstruction. No recurrence was observed during 6 years of follow-up. To the best of our knowledge, this is the fourth case of Masson's tumor in mandibular skeletal tissue, which has unique and distinctive features due to its size and location. A rare occurrence in skeletal tissue, complex clinical presentations, and complicated histopathologic findings present diagnostic challenges for treatment of this lesion.
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Affiliation(s)
- Hassan Mirmohammadsadeghi
- Department of Oral and Maxillofacial Surgery, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Fatemeh Mashhadiabbas
- Department of Oral and Maxillofacial Pathology, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Fatemeh Latifi
- Department of Oral and Maxillofacial Surgery, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Han JW, Lee JH, Kim EK. Intravascular papillary endothelial hyperplasia (Masson's hemangioma) of the face. Arch Craniofac Surg 2019; 20:109-111. [PMID: 30703866 PMCID: PMC6505432 DOI: 10.7181/acfs.2018.02208] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2018] [Accepted: 11/06/2018] [Indexed: 11/30/2022] Open
Abstract
Intravascular papillary endothelial hyperplasia or Masson’s hemangioma is a rare vascular tumor. The reactive proliferation of endothelial cells in this disease mimics other benign or malignant vascular proliferation such as angiosarcoma or Kaposi’s sarcoma. It is important to make an accurate distinction to avoid confusion with these malignant tumors. This would facilitate a proper diagnosis, which is essential so that the patient is not subjected to unnecessarily aggressive or inappropriate treatment.
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Affiliation(s)
- Jin Woo Han
- Department of Plastic and Reconstructive Surgery, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea
| | - Jong Hun Lee
- Department of Plastic and Reconstructive Surgery, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea
| | - Eun Kyung Kim
- Department of Pathology, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea
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Shrestha KK, Jha AK, Joshi RR, Rijal AS, Dhungana A, Maharjan S. Masson's Hemangioma of the Cheek: A Case Report. Indian J Otolaryngol Head Neck Surg 2018; 70:321-324. [PMID: 29977863 DOI: 10.1007/s12070-015-0886-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2015] [Accepted: 07/29/2015] [Indexed: 10/23/2022] Open
Abstract
We report a rare case of intravascular papillary endothelial hyperplasia (IPEH) of the cheek. This neoplasm, known as Masson's tumor, is an unusual vascular lesion of proliferating endothelial cells. It is usually confined to the lumen of preexisting vessels or vascular malformations. The principal significance of IPEH is its resemblance to a variety of benign and malignant diseases and possible misdiagnosis as such. Achieving a correct diagnosis is essential to avoid subjecting a patient to either unnecessarily aggressive or inadequate therapy. For this reason, awareness of this lesion is very important.
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Affiliation(s)
- K K Shrestha
- Department of Otolaryngology & Head and Neck Surgery, Nepal Medical College Teaching Hospital, P O Box 13344, Attarkhel, Jorpati, Kathmandu Nepal
| | - A K Jha
- Department of Otolaryngology & Head and Neck Surgery, Nepal Medical College Teaching Hospital, P O Box 13344, Attarkhel, Jorpati, Kathmandu Nepal
| | - R R Joshi
- Department of Otolaryngology & Head and Neck Surgery, Nepal Medical College Teaching Hospital, P O Box 13344, Attarkhel, Jorpati, Kathmandu Nepal
| | - A S Rijal
- Department of Otolaryngology & Head and Neck Surgery, Nepal Medical College Teaching Hospital, P O Box 13344, Attarkhel, Jorpati, Kathmandu Nepal
| | - A Dhungana
- Department of Otolaryngology & Head and Neck Surgery, Nepal Medical College Teaching Hospital, P O Box 13344, Attarkhel, Jorpati, Kathmandu Nepal
| | - S Maharjan
- Department of Otolaryngology & Head and Neck Surgery, Nepal Medical College Teaching Hospital, P O Box 13344, Attarkhel, Jorpati, Kathmandu Nepal
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Abdal K, Hafezi Ahmadi M. Masson's Hemangioma of the Urethra: A Case Report. IRANIAN JOURNAL OF MEDICAL SCIENCES 2018; 43:336-339. [PMID: 29892154 PMCID: PMC5993900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/06/2017] [Accepted: 03/05/2017] [Indexed: 10/26/2022]
Abstract
Intravascular papillary endothelial hyperplasia (IPEH) is an uncommon benign vascular disease characterized by endothelial cell proliferation and papillary formation within the lumen of blood vessels arising from an organizing thrombus. The occurrence of this uncommon lesion is about 2% of all vascular tumors. IPEH mostly occurs in the 5th decade of life, and there is no gender or age predilection. Nevertheless, some studies have suggested that IPEH is more common in women than in men. The clinical features are mostly asymptomatic, and the lesion is typically characterized as a small, firm, slightly elevated mass with red to blue discoloration of the overlying skin. The main diagnosis of the lesion is based on histological examination. The most common locations of IPEH are head and neck, fingers, and trunk. The occurrence of IPEH in the urethra is extremely rare, with only a few cases having been reported in the literature. We describe a 70-year-old woman with a complaint of dysuria and urethral bleeding of 3 days' duration. Clinically, the lesion was a palpable firm mass in the urethra. Urethrocystoscopy illustrated a dark mass, a few millimeters in size, with bleeding. Histologic findings revealed dilated blood vessels with multiple papillary projections into the lumen. Thus, based on these findings, a final diagnosis of Masson's tumor was confirmed. According to clinical and radiographic findings, this lesion is similar to malignant lesions and its accurate diagnosis is based on microscopic findings. Therefore, awareness of the microscopic characteristics of this tumor is very important for clinicians to rule out the presence of malignant vascular lesions and to avoid unnecessarily aggressive therapy.
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Affiliation(s)
- Khadijeh Abdal
- Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Ilam University of Medical Sciences, Ilam, Iran
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Mignogna C, Barca I, Di Vito A, Puleo F, Malara N, Giudice A, Giudice M, Barni T, Donato G, Cristofaro MG. Extravascular type of intravascular papillary endothelial hyperplasia mimicking parotid gland neoplasia and the possible role of ferritin in the pathogenesis: A case report. Mol Clin Oncol 2016; 6:193-196. [PMID: 28357092 DOI: 10.3892/mco.2016.1117] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2016] [Accepted: 12/09/2016] [Indexed: 01/30/2023] Open
Abstract
Intravascular papillary endothelial hyperplasia (IPEH) is defined as a vascular lesion characterized by extensive proliferation of vascular endothelial cells. This lesion was first described by Pierre Masson in 1923 as intravascular hemangioendothelioma. The most frequent sites of involvement are the skin and subcutis. IPEH comprises ~2% of the vascular tumors of the skin and subcutaneous tissue and it has a predilection for the head, neck, trunk and the extremities. The diagnosis is based on histopathology. We herein present the second case of Masson's tumor of the parotid gland described in literature. The patient was a 70-year-old female. Magnetic resonance imaging revealed an irregular lesion with smooth margins, initially considered to be compatible with pleomorphic adenoma. Immunohistochemical analysis revealed positivity of the tumor cells for ferritin heavy and light chains, vimentin and CD31. The aim of the present study was to emphasize the immunohistochemical characteristics and briefly discuss the potential role of ferritin in the pathogenesis of IPEH.
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Affiliation(s)
- Chiara Mignogna
- Department of Health Science, Magna Græcia University, I-88100 Catanzaro, Italy
| | - Ida Barca
- Department of Experimental and Clinical Medicine, Magna Græcia University, I-88100 Catanzaro, Italy
| | - Anna Di Vito
- Department of Experimental and Clinical Medicine, Magna Græcia University, I-88100 Catanzaro, Italy
| | - Francesca Puleo
- Department of Health Science, Magna Græcia University, I-88100 Catanzaro, Italy
| | - Natalia Malara
- Department of Health Science, Magna Græcia University, I-88100 Catanzaro, Italy
| | - Amerigo Giudice
- Department of Health Science, Magna Græcia University, I-88100 Catanzaro, Italy
| | - Mario Giudice
- Department of Experimental and Clinical Medicine, Magna Græcia University, I-88100 Catanzaro, Italy
| | - Tullio Barni
- Department of Experimental and Clinical Medicine, Magna Græcia University, I-88100 Catanzaro, Italy
| | - Giuseppe Donato
- Department of Health Science, Magna Græcia University, I-88100 Catanzaro, Italy
| | - Maria Giulia Cristofaro
- Department of Experimental and Clinical Medicine, Magna Græcia University, I-88100 Catanzaro, Italy
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Oral Intravascular Papillary Endothelial Hyperplasia Associated with an Organizing Thrombus: Case Report and Immunohistochemical Analysis. Case Rep Pathol 2016; 2016:1908767. [PMID: 28053797 PMCID: PMC5174169 DOI: 10.1155/2016/1908767] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2016] [Revised: 11/01/2016] [Accepted: 11/23/2016] [Indexed: 01/06/2023] Open
Abstract
Intravascular papillary endothelial hyperplasia (IPEH) is a benign lesion of the skin and mucosa of vascular origin characterized by reactive proliferation of endothelial cells. A 76-year-old woman was referred presenting a painless nodule on the lip. Intraoral examination revealed bluish submucosal nodular proliferation, measuring 10 × 5 × 5 mm, affecting the lower labial mucosa. The lesion had a firm consistency and it was not fixed to the adjacent tissues. The main differential diagnoses were mucocele/mucus retention cyst, sialolith, or salivary gland neoplasia. An incisional biopsy was performed and during the intraoperative procedure an encapsulated red-bluish nodular mass was observed. Microscopic analysis revealed papillary endothelial proliferation in the center of the lesion and fibrin admixed with inflammatory cells in organization peripherally. There was no nuclear atypia, mitotic figures, or necrosis. The endothelial cells were CD34 positive, with low Ki-67 proliferation index (4%). α-SMA highlighted the vessel walls, whereas negativity for D2-40 excluded lymphatic origin. Final diagnosis was IPEH associated with an organizing thrombus. Dentists should be aware about this rare benign vascular lesion, whose final diagnosis is achieved only after histopathology analysis. Surgical removal is the treatment of choice and no recurrence is expected.
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14
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Liné A, Sanchez J, Jayyosi L, Birembaut P, Ohl X, Poli-Mérol ML, François C. Papillary endothelial hyperplasia (Masson's tumor) in children. ANN CHIR PLAST ESTH 2016; 62:232-237. [PMID: 27346753 DOI: 10.1016/j.anplas.2016.05.010] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2016] [Accepted: 05/23/2016] [Indexed: 12/19/2022]
Abstract
The intravascular papillary endothelial hyperplasia (IPEH/Masson's tumor) is a rare benign tumor of the skin and subcutaneous vessels. We report, in four pediatric cases, clinical presentation, care (diagnostic and surgical) of Masson's tumor in children. Two boys (two years) and two girls (four and six years) showed a pain subcutaneous tumor (one to five centimeters). They were in the transverse abdominal muscle, between two metatarsals, at the front of thigh and in the axilla. Imaging performed (MRI, Doppler ultrasound) evoked either a hematoma, a lymphangioma or hemangioma. The indication for removal was selected from pain and/or parental concern. The diagnosis was histologically. A lesion persisted in residual form (incomplete initial resection), and is currently not scalable for eleven years. DISCUSSION This tumor is characterized by excessive proliferation and papillary endothelial cells in the vessels, following a thrombotic event. It is found mainly in adults (no specific age), and preferentially localizes in the face and limbs. The clinical differential diagnosis of this tumor is angiosarcoma. The imagery has not allowed in our series to diagnose but still essential to eliminate differential diagnoses. Only surgical excision with histological examination can differentiate. Our study emphasizes the possibility of pediatric cases with two cases of unusual locations (abdominal and axilla). Clinical presentations we met, now lead us to direct our histologist looking for a Masson tumor in any child with a subcutaneous tumor and/or intramuscular pain, sudden onset, and vascular appearance (after excluding an arteriovenous malformation).
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Affiliation(s)
- A Liné
- CHU de Reims, American Memorial Hospital, Chirurgie pédiatrique, 47, rue Cognacq-Jay, 51100 Reims, France
| | - J Sanchez
- CHU de Reims, Hôpital Maison-Blanche, Chirurgie plastique reconstructrice et esthétique, 45, rue Cognacq-Jay, 51100 Reims, France
| | - L Jayyosi
- CHU de Reims, Hôpital Maison-Blanche, Chirurgie plastique reconstructrice et esthétique, 45, rue Cognacq-Jay, 51100 Reims, France
| | - P Birembaut
- Hôpital Maison-blanche, Pol BOUIN, Laboratoire de Biopathologie, 45, rue Cognacq-Jay, 51100 Reims, France
| | - X Ohl
- CHU de Reims, Hôpital Maison-Blanche, Chirurgie orthopédique, 45, rue Cognacq-Jay, 51100 Reims, France
| | - M-L Poli-Mérol
- CHU de Reims, American Memorial Hospital, Chirurgie pédiatrique, 47, rue Cognacq-Jay, 51100 Reims, France
| | - C François
- CHU de Reims, American Memorial Hospital, Chirurgie pédiatrique, 47, rue Cognacq-Jay, 51100 Reims, France; CHU de Reims, Hôpital Maison-Blanche, Chirurgie plastique reconstructrice et esthétique, 45, rue Cognacq-Jay, 51100 Reims, France; Université de Reims Champagne-Ardenne, EA 3801, 51, rue Cognacq-Jay, 51100 Reims, France.
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Fabre AB, Passos PCVDR, Lima BZD, Fabricio L, Fillus Neto J, Bonalumi Filho A. Case for diagnosis. An Bras Dermatol 2014; 89:677-8. [PMID: 25054765 PMCID: PMC4148292 DOI: 10.1590/abd1806-4841.20142787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2013] [Accepted: 09/16/2013] [Indexed: 11/23/2022] Open
Abstract
Intravascular papillary endothelial hyperplasia is a benign vascular lesion
caused by proliferation of endothelium. It is reactive to thrombotic or
inflammatory stimuli in the vessel wall.We report the case of a 14-yearold male
patient with a violet-colored erythematous tumoral lesion of progressive growth
in the occipital region. The diagnosis of intravascular papillary endothelial
hyperplasia (IPEH) was confirmed by clinical and histopathological findings.
Total lesion exeresis was performed with no recurrence up to date. IPEH presents
clinical importance due to its clinical and histological resemblance to
angiosarcoma. In order to differentiate it from angiosarcoma, distinguishing
features of the benign disease should be considered, such as lack of cellular
atypia and rare mitotic activity.Prognosis is good.
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Affiliation(s)
| | | | | | | | | | - Aguinaldo Bonalumi Filho
- Rubem David Azulay Dermatology Institute, Santa Casa da Misericórdia of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
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Intravascular papillary endothelial hyperplasia: diagnostic sequence and literature review of an orofacial lesion. Case Rep Dent 2014; 2014:934593. [PMID: 24891960 PMCID: PMC4033548 DOI: 10.1155/2014/934593] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2014] [Accepted: 04/18/2014] [Indexed: 12/14/2022] Open
Abstract
Intravascular papillary endothelial hyperplasia or Masson's tumor is a rare reactive disease of vascular origin characterized by exuberant proliferation of endothelial cells notably occurring within blood vessels of head, neck, and extremities. The importance of this entity is its ability to mimic a variety of diseases both benign and malignant in the orofacial region. Here, we present a case of Masson's tumor within the masseter muscle in a 40-year-old female with emphasis on the sequential investigative procedures performed to diagnose this entity.
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Sarode GS, Sarode SC, Karmarkar SP. Oral intravascular papillary endothelial hyperplasia (Masson's tumor): A review of literature. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY MEDICINE AND PATHOLOGY 2014. [DOI: 10.1016/j.ajoms.2012.12.014] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Intravascular papillary endothelial hyperplasia of the skull base and intracranial compartment. Clin Neurol Neurosurg 2013; 115:2264-7. [PMID: 23927814 DOI: 10.1016/j.clineuro.2013.07.021] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2013] [Revised: 06/14/2013] [Accepted: 07/14/2013] [Indexed: 11/21/2022]
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Abstract
Masson's tumor, more accurately termed intravascular papillary endothelial hyperplasia, is a benign lesion commonly confused with angiosarcoma. We present a case of a Masson's lesion arising on the left thumb of a 63-year-old woman and a review of historic and current literature regarding differential diagnosis and management. Masson's tumor is a completely benign lesion in cutaneous instances and can be adequately treated with excision alone.
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Fontes A, Campos MS, de Sousa SCOM, Martins MT, Nunes FD. Diagnostic implications of oral intravascular papillary endothelial hyperplasia. Odontology 2011; 99:92-97. [DOI: 10.1007/s10266-010-0150-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2009] [Accepted: 07/04/2010] [Indexed: 12/21/2022]
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Murugaraj V, Kingston G, Patel M, Anand R. Intravascular papillary endothelial hyperplasia (Masson's tumour) of the oral mucosa. Br J Oral Maxillofac Surg 2010; 48:e16-7. [DOI: 10.1016/j.bjoms.2009.12.009] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2009] [Accepted: 12/17/2009] [Indexed: 12/15/2022]
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Intravascular papillary endothelial hyperplasia associated with venous pool arising in the lower lip: a case report. Int J Dent 2010; 2009:940686. [PMID: 20339454 PMCID: PMC2836790 DOI: 10.1155/2009/940686] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2009] [Revised: 09/18/2009] [Accepted: 10/07/2009] [Indexed: 01/09/2023] Open
Abstract
Intravascular papillary endothelial hyperplasia is a benign nonneoplastic vascular lesion that consists of endothelial cells with abundant vascular tissue with papillary proliferation. An adult female had a painless growing dark red nodule on the left side of the lower lip and often touched and gnawed at it for more than 4 years. The lesion was a tender, smooth mass approximately 1 cm in diameter without discoloration reaction. Magnetic resonance imaging of the lesion showed specific findings. She was diagnosed clinically as having mimicked hemangioma, and the lesion was totally excised under local anesthesia. Histopathological examination revealed that papillary proliferated endothelial cells with venous pool, and the lesion was diagnosed as intravascular papillary endothelial hyperplasia associated with venous pool. There has been no recurrence for more than 1 year. Despite the benign nature of this lesion, it could have been mistaken for a malignant tumor because of its clinical course and radiologic findings.
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Cohen A, Maly A, Azaz B. Intravascular papillary endothelial hyperplasia of the lower lip: surgical approach and review of the literature. Gerodontology 2009; 26:305-8. [PMID: 19702673 DOI: 10.1111/j.1741-2358.2009.00287.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVE A review of the literature for intravascular papillary endothelial hyperplasia is presented along with a case report of a geriatric patient. REVIEW OF THE LITERATURE Intravascular papillary endothelial hyperplasia (IPEH) is a reactive benign lesion of vascular origin, which is caused by an excessive proliferation of endothelial cells. Only a few cases with IPEH in the oral cavity have been recorded in the literature, reporting the lower lip as the main site. The treatment of choice mentioned in the literature is simple excision. CASE REPORT In this case, an IPEH of the lower lip of a 79-year-old male was treated by a sclerosing agent, which was injected into the lesion, causing compression and fibrosis of the blood vessels, followed by a careful dissection and excision. Intra-operatively no bleeding occurred. Post-operatively an excellent aesthetic result was achieved, without recurrence. CONCLUSION The use of sclerotherapy followed by surgery in mixed type intravascular papillary endothelial hyperplasia can provide an acceptable aesthetic result with minimal intra-operative bleeding.
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Affiliation(s)
- A Cohen
- Department of Oral and Maxillofacial Surgery, Haddasah Ein-Kerem, Israel.
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