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Spindle cell haemangioma (haemangioendothelioma)

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It is an uncommon benign vascular tumour which generally occurs in children and young adults, although they can occur at all ages. There is no sexual preference.

It commonly occurs in the distal extremity of a child or young adult. Other sites too may be affected (1).

The pathogenesis is unclear. It may be a reactive process secondary to arteriovenous malformation or vascular damage (1).

The lesions are usually single, small (0.5-2 cm), and asymptomatic. They appear bluish with livedoid pattern and are firm on palpation. Multiple lesions may be associated with an underlying Maffucci syndrome (1).

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