title: A rare atypical rapidly involuting congenital hemangioma combined with vascular malformation in the upper limb.
abstract: BACKGROUND
  Rapidly involuting congenital hemangioma is a congenital soft tissue tumor, which is difficult to excise completely and rather prone to recur. This atypical tumor combined with capillary-lymphatic-venous malformation was not reported in the literature.
  
  
  METHODS
  We report an atypical case of a 16-year-old teenager who was born with a mass in his right upper limb. Since there is a recurrence after excision for several times and had a serious impact on daily life, we chose amputation. After the surgery, the patient gained a functional recovery. Two years after the surgery, he had no tumor recurrence.
  
  
  CONCLUSIONS
  For this rare tumor with repeated recurrences and significant impact on daily life, we suggest performing amputation at the early stage.
authors: Department of Hand Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, 310003, People's Republic of China. hitman1982@hotmail.com.
authors: Hui
authors: H
authors: Lu
authors: Department of Hand Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, 310003, People's Republic of China.
authors: Qiang
authors: Q
authors: Chen
authors: Department of Hand Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, 310003, People's Republic of China.
authors: Hui
authors: H
authors: Shen
authors: Departments of Orthopedics, Sanmen People's Hospital, #171 Renmin Road, Taizhou, Zhejiang Province, 317100, People's Republic of China.
authors: Ganmin
authors: G
authors: Ye
mesh_terms: D000293:Adolescent; D000671:Amputation, Surgical; D002196:Capillaries / Q000002:abnormalities* / Q000601:surgery; D006225:Hand; D006391:Hemangioma / Q000150:complications / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000601:surgery / Q000628:therapy*; D011788:Quality of Life; D035583:Rare Diseases / Q000601:surgery; D015911:Sclerotherapy; D012983:Soft Tissue Neoplasms / Q000150:complications / Q000601:surgery / Q000628:therapy*; D054079:Vascular Malformations / Q000150:complications / Q000601:surgery / Q000628:therapy*
keywords: Amputation; Capillary-lymphatic-venous malformation; Rapidly involuting congenital hemangioma; Recurrence