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Vascular Tumours

Pathology of Verrucous


Dr Sampurna Roy MD

January 2016


Dr Sampurna Roy  MD

Consultant  Histopathologist (Kolkata - India)


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Verrucous hemangioma is a vascular malformation characterized by vascular spaces in the dermis and subcutaneous tissue with overlying hyperkeratotic, papillomatous epidermis.

Age:  Arise at birth or childhood.

Site: Occurs predominantly on the legs.

Clinical presentation:  

Presents as  blue-red, vascular papules, plaques or nodules, which later becomes warty in appearance.

Small satellite nodules may be present.

These lesions do not resolve spontaneously and have a tendency to recur after excision if margins are inadequate.

Microscopic features:

Histopathologic examination shows irregular papillomatosis, acanthosis and hyperkeratosis of the epidermis.

The superficial dermis shows multiple, thin-walled, dilated blood-filled spaces.

Similar spaces are present in the lower dermis and subcutaneous tissue.

Differential diagnosis-

Angiokeratoma:  Only  the superficial blood vessels are dilated. 

In verrucous hemangioma the vascular spaces are present in the dermis and subcutaneous tissue.


Further reading:

Image link  click here

An immunohistochemical study of verrucous hemangiomas.

Eccrine angiomatous hamartoma, with verrocous hemangioma-like features: A case report.

Dermoscopic diagnosis of a rare, congenital vascular tumor: verrucous hemangioma.

Vascular tumours in infants. Part I: benign vascular tumours other than infantile haemangioma.

Verrucous hemangioma expresses primitive markers.

Verrucous hyperpigmented plaque in a 15-month-old boy. Eccrine angiomatous hamartoma (EAH) associated with verrucous hemangioma (VH).

Evolution of verrucous hemangioma.

Verrucous hemangioma: a report of two cases and review of the literature.

Verrucous hemangioma: an optimized surgical approach.

A case of eccrine angiomatous hamartoma associated with verrucous hemangioma.

Verrucous hemangioma: a challenging vascular lesion.

An unusual vascular tumor: verrucous hemangioma.

[Maffucci syndrome and extensive verrucous epidermal nevi in the same leg].

Verrucous hemangioma.

Linear verrucous hemangioma

Verrucous haemangioma

Digital verrucous fibroangioma: a new variant of verrucous hemangioma.  

Verrucous hemangioma and angiokeratoma circumscriptum: clinical and histologic differential characteristics.

Verrucous lymphovascular malformation versus verrucous hemangioma: controversial nomenclature.

[A histopathologic and imaging study of verrucous hemangioma].

Verrucous hemangioma.

Verrucous hemangioma.

Multiple eruptive verrucous hemangiomas: a variant of multiple hemangiomatosis

Verrucous hemangioma (neviform verrucous acro- hemangioma)

Vascular tumours


Epithelioid hemangioma 

Lobular capillary hemangioma (pyogenic granuloma

Bacillary angiomatosis

Verruga Peruana

Acro-angiodermatitis / pseudo-Kaposi's sarcoma

Reactive angioendotheliomatosis

Infantile Hemangioma

Glomeruloid hemangioma 

Acquired tufted  angioma

Cherry angioma/senile angioma

Arteriovenous hemangioma 


Myxoid Tumours of Soft Tissue

Classification of Soft Tissue Tumour

Gross examination of soft tissue specimen          

A practical approach to histopathological reporting of soft tissue tumours

Grading of soft tissue tumours

Lipomatous tumours

Neural tumours

Myogenic tumours

Fibroblastic/ Myofibroblastic tumours

Myofibroblastic tumours

Fibrohistiocytic tumours

ChondroOsseous tumours

Soft TissueTumours of Uncertain Differentiation               

Notochordal Tumour - Chordoma

Extra-adrenal Paraganglioma

Gastrointestinal Stromal Tumour



Spindle cell  hemangioma / hemangioendothelioma

Kaposiform hemangioendothelioma 

Retiform hemangio endothelioma 

Papillary intralymphatic angioendothelioma (Dabska's tumour)

Composite hemangio endothelioma 

Polymorphous  hemangioendothelioma

Kaposi's sarcoma

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