Ulcerated cutaneous epithelioid hemangioendothelioma

Epithelioid hemangioendothelioma described first by Weiss and Enzinger in 1 982 is an uncommon vascular tumor usually involving soft tissue, less frequ ently the lung and the liver and exceptionally the skin. We herein report a 52-year-old woman who presented an isolated moderately painful persistant ulceration of the concha of her left ear, Histopathological findings showed strands and nests of epithelioid endothelial cells typical of cutaneous ep ithelioid hemangioendothelioma. Immunohistochemical stainings confirmed the vascular nature of the tumor. Surgical excision by ear amputation was perf ormed. In a review of the literature, to our knowledge, this clinical prese ntation as ulceration has never previously been reported.