Epithelioid hemangioma (EH) is an uncommon benign vascular tumor.It is usually located in the subcutaneous tissues of the head and the distal portions of the extremities, especially the digits. It generally presents as a tender nodule that slowly enlarges with time.The size at excision has ranged from 0.5 to 2.5 cm in greatest dimension. The mean time between the first appearance and its excision was 4.5 months, ranging from a few days to 1 year.It has the following features.

First, most cases of EH develop in the head (in the distribution zone of the superficial temporal artery) and in the distal portion of the extremities.Only very rarely has this tumor been described to affect the penis, with fewer than 30 cases reported. In some patients, the association between EH and penile trauma has been identified.We know from published studies that the reference standard for treatment of EH is local excision. External beam radiotherapy to the surgical margins is seldom performed.In only 1 case of atypical EH, did local recurrence develop 6 cm distal to the previous excision. At long-term follow-up (20 years at the most), nearly all patients remained free of disease. Neither lymph node involvement nor distant metastasis has been reported.

Second, the elapsed time between the initial diagnosis and the excision of the lesion in previously reported cases of EH was 1 year at the most.In contrast, in our patient, the interval was exceptional at 4 years. This could have been because of the greater depth of the lesion at the root of the corpus cavernosum and the increase in size that was slower than formerly described.Ultrasound time-elapsed measurements of the lesion demonstrated that, after 4 years, the greatest dimension had only increased by 3 mm. Therefore, in our case the’atypical’ variant of EH was not associated with rapid growth of the lesion.

Third, this lesion was initially misdiagnosed as PD, and ECD ultrasonography was essential to the clinical diagnosis of EH.Ultrasonography showed a well-circum-scribed hypoechoic PD-like nodule with a slightly irregular internal structure, in association with the tunica albuginea. PD nodules can have different ultrasound patterns, depending on their age and activity (normally hypoechogenic in recent nodules, isoechogenic in fibrotic nodules, and hyperechogenic in calcific nodules). However, in some cases, even with the clinical presentation of PD, no significant alterations can be detected on ultrasonography.Nevertheless, vascularization assessment with penile ECD ultrasonography will help to establish the correct clinical diagnosis: PD nodules feature low or absent vascularization, usually surrounded by distorted vessels.In contrast, in the present case, ECD ultrasonography demonstrated a highly vascularized lesion with both arterial and venous fiow. To our knowledge, no ECD examination of EH has previously been performed at other anatomic sites.

Hemangioma is a birth defect that effect many babies in infancy. The symptoms of this defect normally appear during the first couple of days or even week of life and in some cases it can be resolved by the time they reach the age of ten. Hemangioma is when there is an abnormal build up of the person’s blood vessels located either in the skin or the internal organs. It is more common in women than it is in men, as it only affects around 7% of healthy people. Hemangioma may also be referred to as a tumor, but are not cancerous. If doesn’t affect just one part of the body as it may be found almost anywhere in the blood.

Symptoms

Hemangioma are very small usually measuring only a quarter inch in diameter, but they may also be several inches or even larger depending on the specific person. When it has been found in the liver it is not known to cause any health related problems. Most of the time doctors may accidentally find that you have this illness at the time of testing for other unrelated medical problems, mostly seen from using ultrasound imaging or CT (computerized tomography) which scans your abdominal area. People that have symptoms may feel pain, nausea, or even a enlargement of the liver in certain cases. In rare cases the Hemangioma can rupture causing the person internal bleeding into their abdomen and in this case it is life threatening and the person should seek medical attention right away.

When your medical doctor thinks that you may have Hemangioma they must cancel that it is not another type of tumor. With specialized testing they can reassure you if the tumor is Hemangioma or a more malignant tumor. When testing they may use scintigraphy by using a small amount of radioactive liquids to be able to identify Hemangioma. In most situations they will not be performing a biopsy of the area due to the risk of bleeding from the biopsy causing the Hemangioma to rupture.

Treatment

When it comes to treating your Hemangioma most of them do not require treatment. If a hepatic Hemangioma is large and is causing the person to experience symptoms of illness, then you should look into surgically removing it as an option. They are mostly called tumors, however, they are not as dangerous and do not seem to become cancerous.