Bushy hemangioma ("tufted angioma") of the underarm. Case report and review of the literature

Background. Tufted angioma represents a benign vascular lesion of the skin. The knowledge of this distinctive entity is important in distinction of cl inically more aggressive and malignant neoplasms respectively. Case report. We report a 8-months-old girl who developed a deep seated tufted haemangio ma on her right forearm. Sonography and MRI showed a good vascularized tumo r with interseptal spreading. Histological examination of the incisional bi opsy revealed a cellular capillary haemangioma with morphological features of rare tufted haemangioma. Discussion. Characteristic morphological features of tufted haemangioma all ow accurate diagnosis and differential diagnosis to clinically more aggress ive and malignant neoplasms of skin and soft tissues, wheras radiological m ethods are rather unspecific and do not distinguish reliably between these vascular lesions. It is of special clinical importance that tufted haemangi oma represents an enlarging but biologically benign vascular neoplasm.