Spindle cell hemangioma and epithelioid hemangioendothelioma arising in an area of lymphedema.

We report the case of a 73-year-old female patient with a multifocal vascular tumor that we regard as composite hemangioendothelioma (CHE). The lesions developed in an area of lymphedema. CHEs are rare vascular tumors in which various types of hemangioendothelioma are combined in 1 lesion. In the present case, separate tumors with histologic features of spindle cell hemangioma and features resembling epithelioid hemangioendothelioma were clustered in 1 anatomic region.