Abstract
Composite hemangioendothelioma is an infrequent vascular neoplasm characteristically comprised of complex intermingling of benign, low grade malignant and malignant vascular components and intermediate biological behaviour. Preponderantly confined to distal extremities, especially hands and feet, neoplasm commonly implicates the adult population. The inadequately circumscribed lesion is confined to deep seated dermis or subcutaneous tissue and represents with an admixture of vascular lesions as epithelioid hemangioendothelioma, retiform hemangioendothelioma, low grade angiosarcoma, lymphangioma or variants of haemangioma as spindle cell haemangioma, capillary haemangioma, cavernous haemangioma, hobnail haemangioma or epithelioid haemangiom.
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