Primary Surgical Resection of Localized Cervical Kaposiform Hemangioendothelioma in a Neonate: A Potentially Curative Strategy in Selected Patients.
Mustafa Bilici, Muzaffer Sağlam, Didem Cemile Yeşilırmak et al.
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Case in brief
A term female neonate had a 4 × 4 cm cervical mass at birth. Imaging showed a well-circumscribed, highly vascular lesion without infiltration or compression of vital structures; no coagulopathy was detected. These findings were atypical for kaposiform hemangioendothelioma (KHE), and malignancy remained in the differential diagnosis. Because the lesion was anatomically resectable, it was completely excised on day 10. Histopathology confirmed KHE. Recovery was uneventful, with no recurrence at 1-year follow-up.
What made this case unusual
The lesion’s well-circumscribed appearance and lack of infiltration or compression were atypical radiologic features for KHE, creating diagnostic uncertainty despite its high vascularity.
Diagnostic / clinical pearl
A localized, resectable cervical mass in a neonate may prove to be KHE even when imaging is atypical; histopathology established the diagnosis in this case.
Why it matters
The case suggests complete excision may be potentially curative for carefully selected patients with anatomically resectable KHE.