All cases in Vascular Lesions

Postmastectomy lymphangioma circumscriptum

Postmastectomy lymphangioma circumscriptum
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A 70-year-old lady with past history of left-sided mastectomy for Ca breast since 18 years. She presented with a progressive ipsilateral upper limb swelling. Many tense blisters of variable size developed in some areas especially the dorsum of the hand and near the wrist area. On pncturing of few vesicles, a clear fluid was emerged. Lymphangioma circumscriptum complicating chronic lymphedema following mastectomy has been reported on many occasions.

A case presented by Ayman Abdelmaksoud, MD (Egypt). 

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Port-wine stain

Port-wine stain
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An 18-month-old male baby presented with faint red patches confined to one side of the face (cheek, upper lip and nose). The vascular defect has been noticed since birth and characteristically, it respected the mid-line.  The severity of port-wine stains is variable as it can be very extensive and dark red in color on the other hand it may be of limited extent and faint or even hardly noticeable defect.

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Pyogenic granuloma

Pyogenic granuloma

A 25-year-old pregnant lady presented with a small dome-shaped bright red papule involving the upper eyelid near the eyebrow. The lesion has developed within few days of hair epilation and rapidly enlarging till reaching about 0.5 cm diameter in three weeks. Pyogenic Granuloma is a common benign acquired haemangioma that often occurs shortly after a minor injury or infection of the skin. Typically the lesion grows rapidly for a few weeks before stabilizing as an elevated, bright red papule, usually not more than 1 to 2 cm in size; it may then persist indefinitely unless destroyed. PG often affects children or young adults and the hands, fingers, and face, especially the lips and gums, are the most common sites. 

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Granuloma gravidarum

Granuloma gravidarum

Pyogenic granuloma is an exuberant overgrowth of granulation tissue, frequently occurring in the oral cavity, most often involving the gingiva. It may also occur on the buccal mucosa, lip, tongue, or palate. It is a red to reddish-purple, soft, nodular mass that bleeds easily and grows rapidly, but is usually not painful. When it develops during pregnancy it is called pregnancy tumor or granuloma gravidarum. This 35-year-old pregnant woman presented with a large nodular vascular mass involved the floor of the mouth and lower gingiva of three months duration with the onset was at 12 weeks of gestation.

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Pyogenic granuloma

Pyogenic granuloma

A middle-aged woman presented with a bright red, dome-shaped nodule with an easy bleeding tendency surrounded at its base by an epidermal collarette on the palm of one month duration. No history of previous trauma was found. Electrocautery under local anesthesia has abolished the lesion.

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Pyogenic granuloma

Pyogenic granuloma

A 32-year-old woman presented with a dome-shaped with a tendency for easy bleeding pinkish nodule  aroused from the pulp of the middle finger after history of trauma by a splinter two days prior to the onset of the lesion appearance. On examination, a fleshy non-tender nodule about 1.5 cm diameter surrounded by a white macerated epidermal collorate giving a castle and moat appearance emerging from the palmar aspect of the distal phalanx of the middle finger was seen.

 

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