Ulcerated Hemangioma of an Upper Limb

Abstract

Hemangiomas are vascular hyperplasias resulting from the multiplication and proliferation of angioblastic cells. These constitute dynamic lesions, with the presence of vascular neoplasms. They are the most common tumor in childhood but rare in adults; they usually present as a single lesion, but may be multiple in 20% of cases. Although most resolve with acceptable outcomes, another 20% may present complications such as ulceration, infections, hemorrhages, and skin atrophy. We present the case of a 45-year-old female patient who presented with a lesion on her right arm, located on the upper edge of its inner surface; the lesion was painful, ulcerated, and slow to heal. Physical examination revealed a diffuse, reddish-purple, nodular plaque on the skin, for which multidisciplinary management was initiated. Following a collective discussion, a biopsy was performed, which was consistent with a lobular capillary hemangioma. Although various treatments are currently available, it was decided to proceed with surgery, involving excision of the lesion, which confirmed the diagnosis. The patient recovered without complications or recurrence, with good aesthetic and functional healing during two years of follow-up.