HISTOPATHOLOGICAL STUDY OF 100 CASES OF VASCULARTUMOURS

Abstract

Introduction: Vascular tumors show a broad variety of morphological appearances and cilinical behavior, the lesions are ranging from benign hemangiomas to intermediate lesion, which are locally aggressive, to highly malignant angiosarcoma. There is also the grey zone between true neoplasia and hamartoma, which makes difficulty in histopathological assessment. It is also important to decide the degree of malignancy as it can strongly influence the choice of treatment and prognosis.

Methodology: Hundred cases of vascular tumors received at the department of pathology, medical college and SSG hospital, Baroda have been studied with a view to carrying out a histopathological analysis.

Results: mploying modified Enzinger’s classification (2001) the break up of 100 cases was as follows : 37 – capillary hemangiomas, 26 – granuloma pyogenicum, 15 – cavernous hemangiomas, 07 – lymphangiomas, 04 – masson’s hemangiomas (papillary endothelial hyperplasia), 03 – epithelioid hemangiomas, 03 – lymphangiomas circumscriptum, 01 – cystic hygroma, 01 – spindle cell hemangioendothelioma, 01 – epithelioid hemangioendothelioma, 01 – glomus tumor, 01 – angiosarcoma. Majority of vascular tumors were benign, more common in children and young adults, most common sites were head and neck, which required only local surgical excision.

Conclusion: Malignant and intermediate tumors formed as extremely small proportion of vascular tumors, which should be treated aggressively and closely followed up.