Laparoscopic excision of an incidental vascular tumor.

J Surg Case Rep

General Surgery Department, Unidade Local de Saúde de Lisboa Ocidental, E.P.E., Estrada Forte do Alto Duque, 1449-995, Lisboa, Portugal.

Published: October 2024

AI Article Synopsis

  • Anastomosing hemangioma (AH) is a rare benign vascular tumor often confused with malignant tumors due to its similar histological features.
  • A case study involving a 64-year-old man showed that despite imaging suggesting a paraganglioma after an accident, further tests and surgery revealed it was actually an AH.
  • The report emphasizes the importance of distinguishing AH from malignancies to avoid misdiagnosis and unnecessary treatments, highlighting the need for careful evaluation through imaging and histopathology.

Article Abstract

Anastomosing hemangioma (AH) is an exceedingly rare benign vascular tumor, often mistaken for malignant neoplasms due to its histological features. First described in 2009, AH has been documented in various sites, including the kidney, liver, and adrenal gland. This report presents a 64-year-old man who, following a bicycle accident, underwent imaging that revealed a nodule suspicious for a paraganglioma in the right para-caval region. Despite the high radiotracer uptake on 68Ga-DOTANOC PET scan, which suggested paraganglioma, the patient remained asymptomatic and laboratory tests ruled out excessive catecholamine secretion. Surgical excision led to a diagnosis of AH, distinguished by its unique anastomosing vascular pattern and histological similarity to angiosarcoma. This case underlines the diagnostic challenges and potential for overtreatment of AH, highlighting the need for heightened awareness and careful histopathological and imaging evaluation to avoid misdiagnosis and ensure appropriate management.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11456863PMC
http://dx.doi.org/10.1093/jscr/rjae624DOI Listing

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