Intravascular Lobular Capillary Hemangioma Arising in an Hemangioma: A much Disputed Entity

Abstract

Lobular capillary hemangioma, formerly called pyogenic granuloma is a benign lesion that presents as a mass over the skin or mucosa and occurs most often as a result of trauma. The intravascular variant of this lobular capillary hemangioma, however, is rare and had been described earlier in the head and neck region by Cooper et al. 1 But such a variant arising within another hemangioma is extremely unusual. We present one such case in the pediatric age group, the first case of its kind being reported in the English-language literature. This highlights the probability that these lesions, although gathered under the broad title of the hemangiomatous group of neoplasms, their behavior is still uncertain.