Abstract： A case of microvenular hemangioma is reported.A 8-year-old girl presented with a 8-year history of a brown-black papule on the right forefinger.Histological examination showed numerous irregular,thin-walled,branching venules in the dermis with no abnormalities of collagen.In the space of collagen were plump endothelial cells without atypia.Immunohistochemical analysis of the vascular structures showed positive staining for CD31,CD34,smooth muscle actin (SMA),but negative staining for Ki-67.These findings are consistent with microvenular hemangioma,which should be mainly differentiated from Kaposi's sarcoma at early stage.The tumor was completely resected under local anesthesia,and no recurrence had been observed until the time of this writing.