Composite Hemangioendothelioma (CHE) is a new entity classified under the Heman gioendothelioma (HE) group of tumours. It is an extremely rare vascular neoplasm of low to moderate malignancy. Very few cases have been described in the literature. We herein report a case of CHE arising in a 31-year-old male who presented with a history of painless slow growing swelling on upper back since 1year. Clinically, the surface of firm and mobile swelling of 1.5x1.5cm showed focal ulcerations. The histopathological findings were consistent with the diagnosis of composite hemangioendothelioma. The patient underwent wide local excision and at the end of five months of follow up there were no features of local recurrence or metastasis. To the best of our knowledge, this is the first reported case of CHE from India.
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