A case of microvenular hemangioma in a 23-year-old Japanese female is
described. The patient presented with a slowly growing, solitary reddi
sh plague on her back, which measured 15 x 17 mm. Histologically, the
tumor was an infiltrative growth throughout the dermis. It consisted o
f thin-walled, small-sized, irregularly branched vascular vessels. The
vascular lumina were narrow. The flattened endothelial cells had oval
to spindle-shaped nuclei and scant cytoplasm that were immunohistoche
mically positive for endothelial markers. The tumor cells lacked cellu
lar atypia, pleomorphism, and mitotic figures. The patient was well wi
thout disease 8 months after the excision. Pathologists and clinicians
should be aware of the existence of this type of hemangioma with an i
nfiltrative growth and avoid overdiagnosis and overtreatment.