Eruptive epithelioid hemangioendothelioma with spindle cells. Nosological place in the epithelioid vascular tumor spectrum

The epithelioid vascular tumors include epithelioid hemangioma, epithelioid hemangioendothelioma and epithelioid angiosarcoma. We report the case of a difficult to define vascular epithelioid tumor. The tumor localized in the head developed in art eruptive way in multiple bone and skin locations in a 22-year-old man. The lesions had the same histological features as those of epithelioid hemangioma and epithelioid hemangioendothelioma with a spind le-cell component. This tumor was called eruptive epithelioid hemangioendot helioma with spindle cells. In our case, its development with recurrences a nd destructive features has some similarities to tumors of intermediate mal ignancy.