_____________________________________________________________________________________________________ *Corresponding author: Email: rsaajani@yahoo.co.uk; Journal of Cancer and Tumor International 11(3): 1-6, 2021; Article no.JCTI.68196 ISSN: 2454-7360 External Beam Radiotherapy as an Adjuvant in the Management of Recurrent Digital Heamangiomatous Tumour: A Case Report Rotimi Sunday Ajani 1* and Adeniyi Abidemi Adenipekun 2 1 Department of Anatomy, Gastrointestinal and Morphological Anatomy Unit, College of Medicine, University of Ibadan, Nigeria. 2 Department of Radiation Oncology, University of Ibadan and University College Hospital Ibadan, Nigeria. Authors’ contributions Both authors played active and collaborative roles in the case being reported. Author RSA managed the surgical and conservative aspects of the case while author AAA was responsible for the radiotherapy management. The draft and final manuscripts were prepared by author RSA. The submitted manuscript was read and approved by both authors RSA and AAA. Article Information DOI: 10.9734/JCTI/2021/v11i330150 Editor(s): (1) Dr. Sung-Chul Lim, Chosun University, South Korea. Reviewers: (1) Grazia Lazzari, San Giuseppe Moscati Hospital Taranto, Italy. (2) Silvia D’Agostino, University G. d’Annunzio, Italy. Complete Peer review History: http://www.sdiarticle4.com/review-history/68196 Received 10 March 2021 Accepted 14 May 2021 Published 20 May 2021 ABSTRACT Background: Heamangioma constitutes the largest subset of vascular lesions. It is predominantly congenital with predilection for the head and neck region of the body but can involve any part or region of the body. The capillary variant may be post-traumatic. After initial proliferation it may involute especially if infantile. Treatment modalities include drugs, laser and surgery. Capillary heamangioma may be refractory to drug therapy or recur after surgical excision. A case of capillary heamangioma in a middle aged male negriod (Nigerian) that developed from an ulcerated nodule over the middle phalanx of the left 4 th finger with recurrence after several re- excisions is being reported. A permanent cure was achieved after a re-excision preceded by low dose external beam radiotherapy without functional compromise or altered aesthesis of the finger. Case Report