Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2014 Apr-Jun;4(2):47-50.
doi: 10.13107/jocr.2250-0685.167.

"Soap Bubble" Lesion of the Middle Phalanx: Enchondroma or Epitheloid Hemangioma

S S Suresh  1 , Jamshid Etemadi  1 , Gunmala Bhatnagar  1
Affiliations
Case Reports

"Soap Bubble" Lesion of the Middle Phalanx: Enchondroma or Epitheloid Hemangioma

S S Suresh et al. J Orthop Case Rep. 2014 Apr-Jun.

Abstract

Introduction: Epitheloid hemangioma, a benign vascular tumor that arises in skin and soft tissues can also involve the skeletal system. Occasionally this has been reported from small tubular bones of the hand.

Case report: Authors report a case of epitheloid hemangioma of the middle phalanx in a young girl without any cutaneous manifestations. The lesion presented as a swollen middle finger, and plain radiographs showed a geographic area of destruction with cortical thinning and intra lesional calcifications. The case was managed by curettage and bone grafting. Histology confirmed this as a case of epitheloid hemangioma.

Conclusion: Epitheloid hemangioma should be considered in the differential diagnosis of hand masses with expansile lytic lesions with cortical thinning.

Keywords: Enchondroma; Epitheloid hemangioma; Hand; Vascular tumor.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: Nil

Figures

Figure 1
Figure 1
Plain Radiographs Showing Expansile Lesion of the Middle Phalanx with Calcifications.
Figure 2
Figure 2
CT Scan Showing Geographic Destruction, with Bulbous Expansion and Calcifications.
Figure 3
Figure 3
IHC Stain CD 31 Highlighting the Blood Vessels.
Figure 4
Figure 4
Hematoxylin and Eosin Stain Showing Blood Vessels Lined by Plump Eitheloid Cells and Eosinophils in the Stroma X 20.
Figure 5
Figure 5
Clinical Photograph Showing the Range of Movements of the Finger. Figure 5 a & b Showing Range of Movements.
Figure 6
Figure 6
Radiographs Antero-posterior [a] and Lateral [b] Showing no Evidence of recurrence.
See this image and copyright information in PMC

References

    1. Moran CA, Suster S. Angiolymphoid hyperplasia with eosinophilia (Epitheloid hemangioma) of the lung. Am J Clin Pathol. 2005;123:762–765. - PubMed
    1. Cone RO, Hudkins P, Nguyen V, et al. Histiocytoid hemangioma of bone: A benign lesion which may mimic angiosarcoma- report of a case and review of literature. Skeletal Radiol. 1983;10:165–169. - PubMed
    1. Nielson GP, Srivastava A, Kattapuram S, et al. Epitheloid hemangioma of bone revisited. A study of 50 cases. Am J Surg Pathol. 2009;33(2):270–277. - PubMed
    1. Sung MK, Kim YS, Resnick D. Epitheloid hemangioma of bone. Skeletal Radiol. 2000;29:530–534. - PubMed
    1. Kleck CJ, Seidel MJ. Epitheloid hemangioma of the distal humerus with pathologic fracture. Orthopedics. 2012;35(1):e116–e119. - PubMed

Publication types

LinkOut - more resources