[Venolymphatic malformation with bone erosion. An unusual affectation in these lesions]

Rev Esp Patol. 2018 Apr-Jun;51(2):128-133. doi: 10.1016/j.patol.2017.03.004. Epub 2017 May 12.
[Article in Spanish]

Abstract

A 30 year old male presented with a cutaneous lesion on the distal area of the 5th toe with involvement of the outer edges. Macroscopically, it was a 1cm violaceous and keratotic lesion. Radiography showed an increase in soft tissue, possibly due to a vascular lesion. MRI showed a hyper-intense signal with erosion of the distal phalanx compatible with a low-flow vascular malformation. The distal phalanx was amputated. Histopathology revealed a lesion formed by venous and D2-40 positive lymphatic vessels. This case highlights the fact that even minimal skin involvement in vascular malformations may conceal an important deeper lesion, such as erosion of the cortical bone.

Keywords: Anticuerpo monoclonal D2-40; Lymphatic malformation; Malformación linfática; Malformación vascular; Monoclonal antibody D2-40; Vascular malformation.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple*
  • Adult
  • Bone Diseases / etiology*
  • Humans
  • Lymphatic Vessels / abnormalities*
  • Male
  • Toes
  • Vascular Malformations / complications*