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A 79-year-old woman presented with an asymptomatic mass which had been growing slowly for the last five years. Physical examination showed a soft, mobile, spheroid, 1.2×1.2×1.2 cm sized subcutaneous nodule covered with normal skin in the left infraorbital area. The lesion was completely excised under a clinical suspicion of an epidermal cyst and there has been no recurrence since.
Histologically, the mass was completely lying within an expanded vessel (figure 1). In the periphery of the lesion, there were small foci of diversely-branching vascular channels with the spindle cells in a fascicular pattern (figure 2). There was also proliferation of short oval-to-spindle cells with eosinophilic …