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Off-Center Fold
February 2002

Persistent Nodule on the Nose

Author Affiliations

Copyright 2002 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2002

Arch Dermatol. 2002;138(2):259-264. doi:10.1001/archderm.138.2.259

Histologic evaluation showed a poorly circumscribed tumor composed of vascular and cellular components. There were multiple dilated vascular spaces, many of which contained organizing thrombi and phleboliths. The more cellular component consisted of a proliferation of spindle cells and a few admixed epithelioid cells with eosinophilic cytoplasm. Nuclear atypia was minimal and mitoses were few.

First described by Weiss and Enzinger1 in 1986, SCH was initially believed to represent a low-grade angiosarcoma. More recent studies, however, have provided evidence that SCH is a benign reactive vascular lesion that arises in association with abnormalities of local blood flow.2-4