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Yildirim AM, Lancaster J, Zinn Z. Salt Treatment for a Lesion with Recurrent Bleeding in an 11-year-old Child. Pediatr Rev 2023; 44:e29-e31. [PMID: 37907418 DOI: 10.1542/pir.2022-005581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/02/2023]
Affiliation(s)
| | - Jeffrey Lancaster
- Department of Pediatrics-Division of Pediatric Hospital Medicine, West Virginia University, Morgantown, WV
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Mihalceanu S, Schäfer S, Mentzel T, Toberer F. [Multiple, eruptive epithelioid hemangiomas of the scalp]. DERMATOLOGIE (HEIDELBERG, GERMANY) 2023; 74:793-798. [PMID: 37493716 PMCID: PMC10516796 DOI: 10.1007/s00105-023-05193-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 06/13/2023] [Indexed: 07/27/2023]
Abstract
Epithelioid hemangioma is a benign vascular neoplasm with a characteristic histological and immunohistochemical pattern, characterized by a lymphocytic inflammatory infiltrate with admixed eosinophils and FOS‑B expression. The correct diagnosis is of particular relevance, since malignant vascular tumors with differentiated epithelioid cells can also be considered in the differential diagnosis. We present a patient with multiple epithelioid hemangiomas of the scalp accompanied by severe pain and itching. The long history of multiple therapeutic attempts illustrates the limited success of currently available treatment options.
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Affiliation(s)
- Silvia Mihalceanu
- Universitäts-Hautklinik Heidelberg, Ruprecht-Karls Universität Heidelberg, Heidelberg, Deutschland
| | - Sarah Schäfer
- Universitäts-Hautklinik Heidelberg, Ruprecht-Karls Universität Heidelberg, Heidelberg, Deutschland
| | - Thomas Mentzel
- MVZ Dermatopathologie Friedrichshafen/Bodensee, Friedrichshafen, Deutschland
| | - Ferdinand Toberer
- Universitäts-Hautklinik Heidelberg, Ruprecht-Karls Universität Heidelberg, Heidelberg, Deutschland
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Abstract
ABSTRACT Intravascular papillary endothelial hyperplasia (Masson tumor) is an uncommon benign vascular lesion characterized by a reactive proliferation of endothelial cells. This lesion commonly occurs in the head, neck, and upper extremities. Although it can be found anywhere in the body, the lesion has never affected the heel fat pad. This report presents a rare case of Masson tumor of the heel fat pad to facilitate the recognition of this uncommon lesion and also suggests other conditions to be considered when diagnosing heel lesions.
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Affiliation(s)
- Kunyong Sung
- From the Department of Plastic and Reconstructive Surgery, Kangwon National University School of Medicine
| | - Chanho Jeong
- Department of Plastic and Reconstructive Surgery, Kangwon National University Hospital
| | | | - Ha Yeun Oh
- Radiology, Kangwon National University School of Medicine, Chuncheon, Republic of Korea
| | - Sang-Yeul Lee
- Department of Plastic and Reconstructive Surgery, Kangwon National University Hospital
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Xu KR, Rohr BR. T-Cell-Rich Angiomatoid Polypoid Pseudolymphoma: A Case Report and Comparison With Key Differential Diagnoses. Cureus 2023; 15:e37241. [PMID: 37168171 PMCID: PMC10166403 DOI: 10.7759/cureus.37241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/31/2023] [Indexed: 05/13/2023] Open
Abstract
T-cell-rich angiomatoid polypoid pseudolymphoma (TRAPP) is a rare and recently defined entity, conceptualized just over a decade ago. Recognition of TRAPP is important because it can be clinically and microscopically confused with low-grade cutaneous lymphomas and other vascular proliferations. We report a case of a 28-year-old male with a solitary 1.2 cm red polypoid papule on the middle posterior base of the neck. The histopathological examination revealed a well-circumscribed dermal nodular proliferation of banal-appearing lymphovascular spaces with plump endothelial cells. Immunohistochemical analysis showed a T-cell-rich infiltrate. The clinical-pathological differential diagnosis for TRAPP includes pyogenic granuloma, angiolymphoid hyperplasia (epithelioid hemangioma), acral pseudolymphomatous angiokeratoma of children, cutaneous lymphoid hyperplasia, and low-grade cutaneous lymphomas and lymphoproliferative disorders. We review the literature and discuss the key differentiating features between TRAPP and its common differential diagnoses.
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Affiliation(s)
- Katie R Xu
- Dermatology, Case Western Reserve University School of Medicine, Cleveland, USA
| | - Bethany R Rohr
- Dermatology, University Hospitals Cleveland Medical Center, Cleveland, USA
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Tavanafar S, Afroozi B, Rezazadeh F, Jaafari-Ashkavandi Z. Glomus tumor in the buccal mucosa: A case report and review of the literature. J Oral Maxillofac Pathol 2023; 27:S15-S19. [PMID: 37082275 PMCID: PMC10112702 DOI: 10.4103/jomfp.jomfp_232_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Revised: 06/19/2022] [Accepted: 07/19/2022] [Indexed: 03/14/2023] Open
Abstract
Glomus tumors are rare benign neoplasms usually occurring in the upper and lower extremities. However, oral cavity involvement is rare, with only a few case reports. We present a 37-year-old male patient with a chief complaint of an exophytic lesion in the left buccal mucosa for one year referred to our center. At the time, he did not have any pain or lymphadenopathy. The patient underwent surgery using a high-power CO2 laser. His histopathological examination revealed a glomus tumor. After 2 years of follow-up, no evidence of recurrence was detected. Glomus tumors should be taken seriously when patients have a painless exophytic bluish lesion in the buccal mucosa.
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Intravascular papillary hemangioendothelioma disguised as a peripheral sheath tumor of median nerve at the wrist: a case report and literature review. Skeletal Radiol 2022; 52:1421-1426. [PMID: 36513787 DOI: 10.1007/s00256-022-04250-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2022] [Revised: 11/23/2022] [Accepted: 12/02/2022] [Indexed: 12/15/2022]
Abstract
BACKGROUND Intravascular papillary hemangioendothelioma (IVPH) is a benign lesion previously reported in the nasal cavity, neck, upper extremities, and breast. Diagnosis with cross-sectional imaging can prove difficult, with histopathological examination necessary for diagnosis. IVPH resulting in carpal tunnel symptoms is quite rare. CASE PRESENTATION We report the case of a 37-year-old woman who presented with a radial, volar right wrist mass enlarging over the span of 5 years. She noted numbness and tingling in her wrist and thumb, exacerbated by minor accidental collisions and wrist hyperextension. There was no antecedent trauma. On examination, a mildly tender, mobile mass was evident at the volar aspect of the right wrist. Magnetic resonance imaging (MRI) with contrast demonstrated a lobulated, predominantly T2 hyperintense, heterogeneously enhancing mass thought to be a peripheral nerve sheath tumor. The patient elected for surgical excision of the mass, and the histopathological examination showed organizing thrombi with prominent papillary endothelial hyperplasia. At the 2-month follow-up, the patient had full range of motion of her fingers and wrist, with subjectively normal sensation in the distribution of the median nerve. CONCLUSION Carpal tunnel syndrome, in exceedingly rare occasions, can result from an IVPH. MRI findings may be confused with more common entities. Histopathological confirmation remains necessary for conclusive diagnosis.
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Campbell SN, Jones JM, Balikani L, Saltrick KR. Intravascular Endothelial Hyperplasia of the Foot: A Case Series. J Foot Ankle Surg 2022; 62:458-464. [PMID: 36496339 DOI: 10.1053/j.jfas.2022.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Revised: 12/29/2021] [Accepted: 11/11/2022] [Indexed: 11/21/2022]
Abstract
Intravascular endothelial hyperplasia is a benign soft tissue mass rarely reported in the foot. Advanced imaging and confirming a benign diagnosis are critical for any soft tissue mass. This paper identifies 2 patients that developed intravascular endothelial hyperplasia tumors which required surgical excision. A 17-year-old male patient presented to clinic complaining of a painful bump to the arch of his right foot which he related to an injury 9 months prior. Magnetic resonance imaging of the right foot revealed a mass within the plantar subcutaneous fat that was serpiginous in nature similar to adjacent branching vessels favoring a low-flow vascular malformation. A 38-year-old female with Multiple Sclerosis presented with complaints of persistent symptoms of pain to the 1st interspace, difficult ambulation and neuritis. Ultrasound and MRI observed solid, multilobulated mass, with internal vascular malformation, MRI describing intrinsic involvement along the abductor musculature and flexor tendons. Both lesions were surgically excised and sent for pathology. Pathology report indicated a diagnosis of intravascular papillary endothelial hyperplasia or Masson's tumor in both cases. Pathology diagnosis of intravascular papillary endothelial hyperplasia is generally good with wide resection leading to low recurrence rates. Both patients in the current study have progressed postoperatively with resolution of symptoms and without recurrence.
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Affiliation(s)
- Stephanie N Campbell
- Chief Resident, Postgraduate Year 3, Division of Foot and Ankle Surgery, Western Pennsylvania Hospital, Allegheny Health Network, Pittsburgh, PA
| | - Jacob M Jones
- Resident, Postgraduate Year 2, Division of Foot and Ankle Surgery, Western Pennsylvania Hospital, Allegheny Health Network, Pittsburgh, PA
| | - Lame Balikani
- Resident Physician, Department of Pathology and Laboratory Medicine, Allegheny General Hospital, Allegheny Health Network, Pittsburgh, PA
| | - Karl R Saltrick
- Faculty, Division of Foot & Ankle Surgery, West Penn Hospital, Allegheny Health Network, Pittsburgh, PA.
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23-Year-old male with multiple giant facial pyogenic granulomas being treated with combined topical timolol and steroid: A case report. Ann Med Surg (Lond) 2022; 82:104544. [PMID: 36268333 PMCID: PMC9577453 DOI: 10.1016/j.amsu.2022.104544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Revised: 08/26/2022] [Accepted: 08/27/2022] [Indexed: 11/21/2022] Open
Abstract
Introduction and importance Pyogenic Granuloma (PG) commonly presents as a solitary, erythematous, non-tender, skin lesion, usually not exceeding 2.5 cm. Although Surgical excision is the first-line treatment, conservative treatments are recently developing. Solitary PG is well documented unlike multiple PGs, as the latter is rarely described in terms of its presentations and treatments. Case presentation This interesting case report describes a 23-year-old male who developed multiple PGs on the nasal area (2cmx2cm) and mandibular area (10cmx2cm) after sutures removal secondary to a recent history of trauma. The lesions regressed after successfully treated with two months of timolol drops and topical corticosteroids. Subsequently, intralesional corticosteroids injections were given once-per-month for two months, with residual fibrosis of the regressed lesion. Clinical discussion While the most common site for multiple PGs is the interscapular region, this case reports giant, facial, multiple PGs followed suture removal. Although β-blockers were reported to successfully treat solitary PG, only a few cases were raised to discuss this treatment in terms of multiple PGs. This case completes the series and reports successfully-treated multiple PGs using a combination of topical timolol and steroid. Conclusion This case supports the need to consider multiple PGs as a differential diagnosis following sutures removal even when it reaches rarely reported diameters. Also, it suggests topical timolol and steroids as an effective conservative treatment in similar cases of multiple giant PGs. Notably, the treatment failed to sidestep scar formation. This report acts as a proof of the efficacy of topical timolol and steroid as a conservative treatment for multiple Pyogenic Granulomas, even when the lesions reach a large diameter. It is noteworthy that this treatment failed to sidestep scar formation. This case supports the need to consider Pyogenic Granulomas a differential diagnosis after sutures removal. This case highlights the fact that multiple Pyogenic Granulomas can reach diameters larger than 2 cm.
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Acharya KP, Pandey P, Shah R, Bista M, Shrestha S. Angioma serpiginosum in zosteriform distribution on abdomen: A rare presentation. Clin Case Rep 2021; 9:2225-2227. [PMID: 33936670 PMCID: PMC8077343 DOI: 10.1002/ccr3.3995] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Revised: 02/01/2021] [Accepted: 02/14/2021] [Indexed: 11/07/2022] Open
Abstract
Angioma serpiginosum is a rare benign nevoid disorder affecting the small vessels of the upper dermis. We are presenting a case of this rare disease in an 11-year-old girl who presented with this condition on abdomen in zosteriform pattern which is rare presentation and is the first of its type.
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Affiliation(s)
- Kamal P. Acharya
- Department of Dermatology and VenereologyB.P. Koirala Institute of Health SciencesDharanNepal
| | - Prajwal Pandey
- Department of Dermatology and VenereologyB.P. Koirala Institute of Health SciencesDharanNepal
| | - Rajan Shah
- Department of PathologyB.P. Koirala Institute of Health SciencesDharanNepal
| | | | - Samir Shrestha
- Department of Dermatology and VenereologyB.P. Koirala Institute of Health SciencesDharanNepal
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Calado R, Calvão J, Pereira S, Ramos L. PYOGENIC GRANULOMA: A NEW THERAPEUTIC ROLE FOR SALT? J Paediatr Child Health 2021; 57:459-460. [PMID: 33728785 DOI: 10.1111/jpc.15375] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Accepted: 01/23/2021] [Indexed: 10/21/2022]
Affiliation(s)
- Rebeca Calado
- Department of Dermatology, Coimbra Hospital and University Centre, Coimbra, Portugal
| | - Joana Calvão
- Department of Dermatology, Coimbra Hospital and University Centre, Coimbra, Portugal
| | - Sofia Pereira
- Department of Dermatology, Coimbra Hospital and University Centre, Coimbra, Portugal
| | - Leonor Ramos
- Department of Dermatology, Coimbra Hospital and University Centre, Coimbra, Portugal
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Sung KY, Lee S, Jeong Y, Lee SY. Intravascular papillary endothelial hyperplasia of the finger: a case of Masson's tumor. CASE REPORTS IN PLASTIC SURGERY AND HAND SURGERY 2021; 8:23-26. [PMID: 33628865 PMCID: PMC7889222 DOI: 10.1080/23320885.2021.1884560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Intravascular papillary endothelial hyperplasia is an uncommon benign vascular lesion characterized by a reactive proliferation of endothelial cells. The lesion of the finger often presents diagnostic challenges to surgeons because of its rarity. We report a case of intravascular papillary endothelial hyperplasia to facilitate the recognition of this uncommon lesion.
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Affiliation(s)
- Kun-Yong Sung
- Department of Plastic and Reconstructive Surgery, School of Medicine, Kangwon National University, Chuncheon, Korea
| | - Seungkoo Lee
- Department of Anatomic Pathology, School of Medicine, Kangwon National University, Chuncheon, Korea
| | - Yeonjin Jeong
- Department of Plastic and Reconstructive Surgery, Kangwon National University Hospital, Chuncheon, Korea
| | - Sang-Yeul Lee
- Department of Plastic and Reconstructive Surgery, Kangwon National University Hospital, Chuncheon, Korea
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Kowe P, Ghate S, Agrawal S, Dhurat R. A painful mass on the scalp: An uncommon tumor at an uncommon site. INDIAN JOURNAL OF PAEDIATRIC DERMATOLOGY 2021. [DOI: 10.4103/ijpd.ijpd_74_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Arciniegas E, Carrillo LM, Rojas H, Pineda J, Ramírez R, Reyes O, Chopite M, Rocheta A. Plump endothelial cells integrated into pre-existing venules contribute to the formation of 'mother' and 'daughter' vessels in pyogenic granuloma: possible role of galectin-1, -3 and -8. Scars Burn Heal 2021; 7:2059513120986687. [PMID: 33796337 PMCID: PMC7841855 DOI: 10.1177/2059513120986687] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
INTRODUCTION Pyogenic granuloma (PG) is a reactive inflammatory vascular lesion of the skin and mucous membranes, characterised by the presence of enlarged venules and seamed and seamless capillaries with plump endothelial cells (EC), and numerous macrophages. EC activation upregulates the synthesis of galectins and induces their translocation to the EC surface promoting angiogenesis and lymphangiogenesis, particularly galectin-1 (Gal-1), Gal-3 and Gal-8. However, the presence and distribution of Gal-1, -3 and -8, as well as their implications in the pathogenesis of PG, has not been considered. MATERIALS AND METHODS Eight biopsies from patients diagnosed with PG were selected. The presence of PECAM-1/CD31, IL-1β, VEGF-C, VEGFR-2, VEGFR-3, integrin β1, CD44, fibronectin and Gal-1, -3 and -8 was assessed by immunofluorescence staining using confocal laser scanning microscopy. RESULTS AND DISCUSSION Immunostaining revealed that these molecules were present in the enlarged venules with plump ECs, in some macrophages and other immune cells. We propose that macrophages release VEGF-A and VEGF-C inducing VEGFR-2/VEGFR-3 expression and activation, leading macrophages to transdifferentiate into plump ECs that might integrate into pre-existing venules, contributing to the formation of enlarged venules with transluminal bridges and capillaries. EC activation, induced by certain cytokines, has been shown to stimulate galectin expression and changes in the cellular localisation through association and activation of specific EC surface glycoproteins. Therefore, it is plausible that Gal-1, -3 and -8, acting in a concerted manner, could be mediating the transdifferentiation of macrophages into plump ECs and facilitating their migration and incorporation into the new vessels. LAY SUMMARY In this study, immunostaining of pyogenic granuloma (PG) tissue sections showed immunoreactivity for PECAM-1/CD31, IL-1β, VEGF-C, VEGFR-2 and VEGFR-3, and galectin-1, -3 and -8 in enlarged venules with plump endothelial cells (EC), as well as in some macrophages and other immune cells. Interestingly, enlarged and thin-walled transient vessels lined by PECAM-1/CD31 and VEGFR-2 immunopositive ECs that form from pre-existing normal venules in response to VEGF-A (called 'mother' vessels [MV]) and that undergo intraluminal bridging evolving into various types of capillaries (called 'daughter' vessels [DV]) have been observed in benign and malignant tumours, in physiological and pathological angiogenesis as well as in vascular malformations, suggesting an important role for VEGF-A and VEGFR-2 in such a process. However, it is not only the mechanisms by which the MVs evolve in different types of DVs that remains to be elucidated, but also whether the cells that form intraluminal bridges proceed from locally activated ECs or whether they are derived from bone marrow precursors or from resident macrophages.Given that the formation of homodimers by Gal-1 and Gal-8 and pentamers by Gal-3 to generate gal-glycan lattices at the cell surface and in the extracellular space has been shown, it is possible that in PG tissue Gal-1, -3 and -8, through their binding partners, form a supramolecular structure at the surface of ECs and plump ECs, macrophages and in the extracellular space that might be mediating the transdifferentiation of macrophages into plump ECs and facilitating the migration and incorporation of these cells into the pre-existing venules, thus contributing to the formation of MVs and DVs.
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Affiliation(s)
- Enrique Arciniegas
- Institute of Biomedicine, Central University of Venezuela, Caracas, Venezuela
| | - Luz Marina Carrillo
- Institute of Biomedicine, Central University of Venezuela, Caracas, Venezuela
- Autonomus Service Institute of Biomedicine, Caracas, Venezuela
| | - Héctor Rojas
- Institute of Immunology, Central University of Venezuela, Caracas, Venezuela
| | - Jacinto Pineda
- Institute of Anatomy and Pathology, Central University of Venezuela, Caracas, Venezuela
| | - Richard Ramírez
- Autonomus Service Institute of Biomedicine, Caracas, Venezuela
| | - Oscar Reyes
- Autonomus Service Institute of Biomedicine, Caracas, Venezuela
| | - Marina Chopite
- Autonomus Service Institute of Biomedicine, Caracas, Venezuela
| | - Albani Rocheta
- Autonomus Service Institute of Biomedicine, Caracas, Venezuela
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Intravascular papillary endothelial hyperplasia (Masson’s tumour) of the lower eyelid—a rare tumour of the orbital region. EUROPEAN JOURNAL OF PLASTIC SURGERY 2020. [DOI: 10.1007/s00238-020-01634-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Patai BB, Peterfy N, Szakacs N, Sapi Z, Hetthessy JR. Papillary Endothelial Hyperplasia (Masson Tumor) of the Hand. Surgical and Pathological Consideration from Seven Cases Using New Vascular Markers. Pathol Oncol Res 2020; 26:2083-2090. [PMID: 32671676 PMCID: PMC7471200 DOI: 10.1007/s12253-020-00838-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2020] [Accepted: 06/10/2020] [Indexed: 12/19/2022]
Abstract
Although papillary endothelial hyperplasia may occur at almost any site, one of the most common sites is the hand. It is generally regarded as a reactive vascular proliferation i.e. exuberant form of organizing thrombus. Diagnosis of Masson tumor can be challenging due to its close clinical, radiological and even histopathological resemblance to angiosarcoma. We present seven cases of Masson tumor of the hand; wanting to reveal its nature using new vascular markers and discuss the treatment options and expected outcomes, present clinical and radiological features that may aid diagnosis and also offer treatment plans. A multicenter retrospective study was performed between January 2014 and November 2019. Immunohistochemical stains of Glut1, WT1, ERG, CD31 and alpha smooth muscle actin (ASMA) were performed on each cases. We found seven cases during the examined period. 4 out of 7 cases were women. All lesions occurred in the hands. 3 out of 7 cases appeared in a previously present vascular malformation. All cases were treated with surgical excision and the diagnosis of papillary endothelial hyperplasia was made by histology. Pre-operative testing (radiograph/MRI/US/fine needle aspiration biopsy) did not suggest the diagnosis of Masson tumor; however, aspiration cytology could rule out malignancy. The proliferative endothelial cells proved to be Glut1 negative and WT1 positive and the accompanying pericytic cells were ASMA positive in all cases. Though Masson tumor is a rare vascular lesion in the hand among other vascular tumors, it should be considered in the differential diagnostics even in the case of previously existing vascular malformation. WT1 positivity of the endothelial cells and the accompanying pericytic cells raises the question whether the initially reactive endothelial proliferation may transform into a true benign vascular tumor.
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Affiliation(s)
| | - Nora Peterfy
- Department of Traumatology and Hand surgery, Saint John's Hospital, Budapest, Hungary
| | - Noemi Szakacs
- Department of Orthopedics, Semmelweis University, Budapest, Hungary
| | - Zoltan Sapi
- First Department of Pathology and Experimental Cancer Research, Semmelweis University, Budapest, Hungary
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Skin and Soft Tissue Lesions in a District Hospital in Central Nigeria: A Histopathological Study. Dermatol Res Pract 2019; 2019:8143680. [PMID: 32089672 PMCID: PMC7012205 DOI: 10.1155/2019/8143680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2019] [Revised: 11/06/2019] [Accepted: 12/11/2019] [Indexed: 11/30/2022] Open
Abstract
Introduction. Skin and soft tissue diseases form a large and heterogeneous group of mesenchymal extraskeletal and dermatologic lesions in humans. Diseases of the skin and soft tissue can develop virtually anywhere in the body, extremities, the trunk, the retroperitoneum, the head, and the neck. Our study aims to review skin and soft tissue specimens from our centre describing the histopathological patterns.
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17
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Elmas ÖF, Akdeniz N, Acar EM, Kilitçi A. Pyogenic granuloma and nodular Kaposi’s sarcoma: dermoscopic clues for the differential diagnosis. Turk J Med Sci 2019; 49:1471-1478. [PMID: 31651116 PMCID: PMC7018225 DOI: 10.3906/sag-1902-60] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Accepted: 08/04/2019] [Indexed: 12/16/2022] Open
Abstract
Background/aim Pyogenic granuloma (PG)-like nodular Kaposi’s sarcoma (KS) has been previously demonstrated in several studies. However, to the best of our knowledge, no original study investigating the dermoscopic differential diagnosis of PG and KS exists in the relevant literature. In this study we aimed to identify dermoscopic findings providing useful clues to differential diagnosis between the two entities. Materials and methods Patients with histopathologically confirmed PG or nodular KS were included in the study. Demographic, clinical, dermoscopic, and histopathological findings of the cases were retrospectively reviewed. Results The most common finding observed in PG was red structureless areas (80.00%), followed by intersecting thick white lines (56.66%), ulceration (36.66%), and collarette scale (33.33%). The most common findings detected in nodular KS were polychromatic structures (56.66%) and red (46.66%) and white (13.33%) structureless areas, respectively. Conclusion Intersecting thick white lines seem to be the strongest dermoscopic clue to PG. Striate surface scaling (n = 6) was a novel finding identified for PG. Here we also described a new vascular pattern (widespread vessels composing a network) for nodular KS.
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Affiliation(s)
- Ömer Faruk Elmas
- Department of Dermatology and Venereology, Faculty of Medicine, Ahi Evran University, Kırşehir, Turkey
| | - Necmettin Akdeniz
- Department of Dermatology and Venereology, Faculty of Medicine, İstanbul Medeniyet University, İstanbul, Turkey
| | - Emine Müge Acar
- Department of Dermatology and Venereology, Faculty of Medicine, Ahi Evran University, Kırşehir, Turkey
| | - Asuman Kilitçi
- Department of Pathology, Faculty of Medicine, Ahi Evran University, Kırşehir, Turkey
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Abstract
BACKGROUND Primary leiomyoma is a rare cause of a mass in the hand, with few reported cases to date. To our knowledge, this constitutes the most comprehensive and up-to-date systematic review of the literature of all cases of primary hand leiomyoma. We also provide an additional case recently managed in our practice of confirmed primary vascular leiomyoma of the hand in a 44-year-old woman to add to the current body of literature. METHODS We performed a comprehensive literature review of all articles published on primary leiomyoma of the hand. The PubMed database was used, with search terms leiomyoma hand, angioleiomyoma hand, and angiomyoma hand. Articles were selected for their accuracy in anatomic localization in the hand and confirmed pathology of leiomyoma. RESULTS Our initial search query resulted in 216 articles. After applying the inclusion criteria, we identified 50 individual articles with 108 cases of confirmed primary leiomyoma in the hand from January 1, 1954, to July 1, 2018. Common initial clinical impressions recorded for primary hand leiomyoma included ganglion cyst, giant-cell tumor, hemangioma, and glomus tumor. Patients presenting with leiomyoma of the hand frequently describe a painful lesion, which differs from most other benign tumors of the hand at presentation. CONCLUSIONS Leiomyoma is an important consideration when developing a differential diagnosis for primary benign masses in the hand. We hope that this comprehensive review can provide increased awareness of this tumor type.
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Diociaiuti A, Cutrone M, Rotunno R, De Vito R, Neri I, Pisaneschi E, El Hachem M. Angioma serpiginosum: a case report and review of the literature. Ital J Pediatr 2019; 45:53. [PMID: 31029177 PMCID: PMC6487031 DOI: 10.1186/s13052-019-0644-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2019] [Accepted: 03/29/2019] [Indexed: 12/05/2022] Open
Abstract
Background Angioma serpiginosum is a rare vascular anomaly whose pathogenesis is still unknown. It is characterized by the onset of vascular reddish macules and papules during childhood, lesions are usually monolateral with a linear serpiginous pattern. It is rarely associated with extracutaneous findings. This entity has not yet been included in the classification of the International Society for the Study of Vascular Anomalies. Case presentation We describe the first Italian report of angioma serpiginosum with a congenital symmetrical presentation. The patient had a further extension of macules during puberty involving both of the soles. No extracutaneous manifestations were present. Diagnosis was confirmed with dermoscopy and light microscopy that revealed the typical clusters of dilated, thickened and PAS+ capillaries in the upper dermis. Moreover, Immunohistochemistry showed positive WT-1 staining. Genetic analysis with next generation sequencing did not detected any mutation. Conclusions Our patient presented a peculiar symmetrical and planar extension with a serpiginous linear pattern. The proliferative nature of this condition has been widely discussed in literature. In our case immunohistochemistry was positive for Wilms tumor-1, a new endothelial marker expressed during angiogenesis in reparative processes and endothelial tumors. Clinical evolution, histological and immunohistochemical findings suggest that angioma serpiginosum should be considered as a vascular proliferation. For these reasons we think it should be included in the international classification as a tumor.
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Affiliation(s)
- Andrea Diociaiuti
- Dermatology Unit, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio, 4, 00165, Rome, Italy.
| | - Mario Cutrone
- Paediatric Unit, Ospedale dell'Angelo, Mestre, Italy
| | - Roberta Rotunno
- Dermatology Unit, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio, 4, 00165, Rome, Italy
| | - Rita De Vito
- Pathology Unit, Bambino Gesù Children's Hospital- IRCCS, Rome, Italy
| | - Iria Neri
- Division of Dermatology, University of Bologna, Bologna, Italy
| | - Elisa Pisaneschi
- Molecular Genetics Laboratory, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - May El Hachem
- Dermatology Unit, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio, 4, 00165, Rome, Italy
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20
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Li JH, Yuan YY, Yuan J, Huang DL, Liu MB. Granulation Tissue-type Hemangioma in the Internal Jugular Vein. Chin Med J (Engl) 2018; 131:364-365. [PMID: 29363657 PMCID: PMC5798063 DOI: 10.4103/0366-6999.223862] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Jian-Hui Li
- Department of Otolaryngology, Hainan Branch of PLA General Hospital, Sanya, Hainan 572000, China
| | - Yong-Yi Yuan
- Department of Otolaryngology Head and Neck Surgery, Chinese PLA General Hospital, Beijing 100853, China
| | - Jing Yuan
- Department of Pathology, Chinese PLA General Hospital, Beijing 100853, China
| | - De-Liang Huang
- Department of Otolaryngology Head and Neck Surgery, Chinese PLA General Hospital, Beijing 100853, China
| | - Ming-Bo Liu
- Department of Otolaryngology, Hainan Branch of PLA General Hospital, Sanya, Hainan 572000, China
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21
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Zou H, Song L, Jia M, Wang L, Sun Y. Glomus tumor in the floor of the mouth: a case report and review of the literature. World J Surg Oncol 2018; 16:201. [PMID: 30305096 PMCID: PMC6180582 DOI: 10.1186/s12957-018-1503-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2018] [Accepted: 09/28/2018] [Indexed: 12/25/2022] Open
Abstract
Background Glomus tumors are rare benign neoplasms that usually occur in the upper and lower extremities. Oral cavity involvement is exceptionally rare, with only a few cases reported to date. Case presentation A 24-year-old woman with complaints of swelling in the left floor of her mouth for 6 months was referred to our institution. Her swallowing function was slightly affected; however, she did not have pain or tongue paralysis. Enhanced computed tomography revealed a 2.8 × 1.8 × 2.1 cm-sized well-defined, solid, heterogeneous nodule above the mylohyoid muscle. The mandible appeared to be uninvolved. The patient underwent surgery via an intraoral approach; histopathological examination revealed a glomus tumor. The patient has had no evidence of recurrence over 4 years of follow-up. Conclusions Glomus tumors should be considered when patients present with painless nodules in the floor of the mouth.
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Affiliation(s)
- Haixiao Zou
- Department of Stomatology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.,State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China
| | - Li Song
- Department of Stomatology, The Second Affiliated Hospital of Nanchang University, Nanchang, China
| | - Mengqi Jia
- State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China.,Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, No. 237 Luoyu Street, Wuhan, 430079, Hubei, China
| | - Li Wang
- Department of Pathology, School and Hospital of Stomatology, Wuhan University, Wuhan, China
| | - Yanfang Sun
- State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China. .,Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, No. 237 Luoyu Street, Wuhan, 430079, Hubei, China.
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22
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Tauziède-Espariat A, Raffoul J, Sun SR, Lassabe C, Monnin C. [A cutaneous case of angiolymphoid hyperplasia with eosinophilia: Presentation of a rare entity]. Ann Pathol 2018; 38:386-390. [PMID: 30119962 DOI: 10.1016/j.annpat.2018.06.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2016] [Revised: 09/11/2016] [Accepted: 06/11/2018] [Indexed: 11/25/2022]
Abstract
We report the case of a Caucasian 73-year-old woman, without medical history, who is operated of two lesions of the forehead and the scalp measuring 0.4 and 1cm. There is no adenopathy. Histopathological examination revealed a diffuse vascular proliferation of the dermis and the hypodermis composed of small vessels bordered of plump "epthelioid" endothelial cells. There is no mitotic figure. The stroma is slightly fibrous accompanied by a polymorphic inflammatory infiltrate rich in lymphocytes, sometimes arranged in lymphoid follicles, plasma cells and eosinophils. The proposed diagnosis is angiolymphoid hyperplasia with eosinophilia. This is a rare vascular tumor, benign according with the OMS classification and preferentially observed in the skin. We report a cutaneous case, clinical and histopathological data of the reported cases and present the main differential diagnoses.
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Affiliation(s)
- Arnault Tauziède-Espariat
- Service de pathologie, centre hospitalier Montbéliard, 12, rue Docteur Flamand, 25200 Montbéliard, France.
| | - Johnny Raffoul
- Service de pathologie, centre hospitalier Montbéliard, 12, rue Docteur Flamand, 25200 Montbéliard, France
| | - Shan Rong Sun
- Service de pathologie, centre hospitalier Montbéliard, 12, rue Docteur Flamand, 25200 Montbéliard, France
| | - Catherine Lassabe
- Service de pathologie, centre hospitalier Montbéliard, 12, rue Docteur Flamand, 25200 Montbéliard, France
| | - Christine Monnin
- Service de pathologie, centre hospitalier Montbéliard, 12, rue Docteur Flamand, 25200 Montbéliard, France
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23
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Lorei NC, Lucas MJ, Logemann NF. Tattoo-induced hemangioma: An exploration of the potential for vascular proliferations following tattoo-related trauma. J Cutan Pathol 2018; 45:721-724. [PMID: 29920738 DOI: 10.1111/cup.13303] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2017] [Revised: 06/11/2018] [Accepted: 06/12/2018] [Indexed: 11/27/2022]
Abstract
With the rising popularity of tattoos, many physicians have seen complications of their application, usually transient and inflammatory in nature, although both benign and malignant neoplasms have been reported as well. We present an unusual case of a hemangioma arising after tattoo application.
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Affiliation(s)
- Nathan C Lorei
- Uniformed Services University of the Health Sciences, Bethesda, Maryland
| | - Matthew J Lucas
- Department of Dermatology, Winn Army Community Hospital, Fort Stewart, Georgia
| | - Nicholas F Logemann
- Uniformed Services University of the Health Sciences, Bethesda, Maryland
- Department of Dermatology, Walter Reed National Military Medical Center, Bethesda, Maryland
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24
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Clinicopathologic Characteristics and the Surgical Outcome of Conjunctival Granulomas After Pterygium Surgery. Cornea 2018; 37:1008-1012. [DOI: 10.1097/ico.0000000000001647] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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25
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Darjani A, Rafiei R, Shafaei S, Rafiei E, Eftekhari H, Alizade N, Gharaei nejad K, Rafiee B, Najirad S. Evaluation of Lipid Profile in Patients with Cherry Angioma: A Case-Control Study in Guilan, Iran. Dermatol Res Pract 2018; 2018:4639248. [PMID: 29861719 PMCID: PMC5971275 DOI: 10.1155/2018/4639248] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2018] [Accepted: 04/04/2018] [Indexed: 12/01/2022] Open
Abstract
BACKGROUND Cherry angioma is the most common type of acquired cutaneous vascular proliferation which would increase with aging due to some angiogenic factors but the exact pathogenesis is unknown. Usually angiogenic factors are synthesized in human body to compensate occlusive effects of atherogenic agents such as serum lipids. Our hypothesis was that increased levels of these angiogenic factors could be a trigger for development of cherry angioma. This study has been designed to compare frequency of dyslipidemia in subjects with and without cutaneous cherry angioma. METHODS In this case-control study, 122 cases with cherry angioma and 122 control subjects without cherry angioma were enrolled. Demographic characteristics, number of the cherry angioma lesions, and serum lipid profile were collected for all subjects. The data was analyzed using SPSS 18 software. RESULTS Mean levels of the total cholesterol, triglyceride, low-density lipoprotein, and high-density lipoprotein were higher in patients with cherry angioma compared to control subjects in which differences were significant for total cholesterol, low-density lipoprotein, and triglyceride (P < 0.05) but not for high-density lipoprotein level. CONCLUSION Serum lipids may have a role in producing angiogenic factors and development of cherry angioma and it seems logical to evaluate lipid profile in these cases.
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Affiliation(s)
- Abbas Darjani
- Skin Research Center, Dermatology Department, Guilan University of Medical Sciences, Razi Hospital, Sardare Jangal Street, Rasht, Iran
| | - Rana Rafiei
- Fellowship of Dermatopathology, Skin Research Center, Dermatology Department, Guilan University of Medical Sciences, Razi Hospital, Sardare Jangal Street, Rasht, Iran
| | - Sareh Shafaei
- Skin Research Center, Dermatology Department, Guilan University of Medical Sciences, Razi Hospital, Sardare Jangal Street, Rasht, Iran
| | - Elahe Rafiei
- Razi Clinical Research Development Center, Guilan University of Medical Sciences, Rasht, Iran
| | - Hojat Eftekhari
- Skin Research Center, Dermatology Department, Guilan University of Medical Sciences, Razi Hospital, Sardare Jangal Street, Rasht, Iran
| | - Narges Alizade
- Skin Research Center, Dermatology Department, Guilan University of Medical Sciences, Razi Hospital, Sardare Jangal Street, Rasht, Iran
| | - Kaveh Gharaei nejad
- Skin Research Center, Dermatology Department, Guilan University of Medical Sciences, Razi Hospital, Sardare Jangal Street, Rasht, Iran
| | - Behnam Rafiee
- Department of Pathology, NYU Winthrop Hospital, 222 Station Plaza, No. 620, Mineola, NY 11501, USA
| | - Sara Najirad
- Department of Internal Medicine, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554, USA
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26
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Mansur AT, Demirci GT, Ozbal Koc EA, Yildiz S. An unusual lesion on the nose: microvenular hemangioma. Dermatol Pract Concept 2018; 8:7-11. [PMID: 29445567 PMCID: PMC5808364 DOI: 10.5826/dpc.0801a02] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2017] [Accepted: 10/06/2017] [Indexed: 11/30/2022] Open
Abstract
Microvenular hemangioma (MVH) is an acquired, benign type of hemangioma that usually manifests itself as a solitary, slowly growing, red to violaceous, asymptomatic papule, plaque or nodule. It is typically located on the trunk or extremities of young adults. It can be difficult to differentiate MVH from other types of hemangioma and Kaposi sarcoma. Herein we report a case of MVH unusual for its location, age of onset, and morphologic features. A 62-year-old man complained of an asymptomatic, bluish-red discoloration on the tip of his nose that had been present for two years. Dermatologic examination showed a violaceous patch 2 × 2 cm in diameter with indistinct borders. Incisional biopsy revealed irregularly branched small or medium-sized vascular spaces lined with benign endothelial cells, positive for CD34 and negative for HHV-8. MVH is a rare lesion, and less than 70 cases have been published to date. A review of 40 reported cases revealed that 15% of MVH patients were over 40 years of age and only 3% of the cases showed macules or patches. A literature survey showed only two cases of MVH located on the facial region, one on the chin and the other on the cheek. Our case was unique for its location and interesting for other rarely encountered features. MVH should be considered in the differential diagnoses of vascular lesions on nasal skin.
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Affiliation(s)
- A Tulin Mansur
- Dermatology Department, Istanbul Hospital, Baskent University, Istanbul, Turkey
| | | | - Eltaf A Ozbal Koc
- Ear, Nose and Throat Diseases Department, Istanbul Hospital, Baskent University, Istanbul, Turkey
| | - Semsi Yildiz
- Pathology Department, Istanbul Hospital, Baskent University, Istanbul, Turkey
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27
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Zaballos P, Medina C, Del Pozo LJ, Gómez-Martín I, Bañuls J. Dermoscopy of arteriovenous tumour: A morphological study of 39 cases. Australas J Dermatol 2018; 59:e253-e257. [PMID: 29313900 DOI: 10.1111/ajd.12775] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2017] [Accepted: 11/18/2017] [Indexed: 11/30/2022]
Abstract
BACKGROUND/OBJECTIVES Arteriovenous tumour is a distinct, benign, acquired vascular lesion that can be misdiagnosed. METHODS A dermoscopic examination of 39 cases of arteriovenous tumours collected from four Spanish hospitals was performed to evaluate specific dermoscopic criteria and patterns. RESULTS The most common structures found were vascular, 95% of cases (37/39); 90% (35/39) were non-arborising telangiectasia. All the lesions except two (95%) had a homogeneous pigmentation background that was red in 30 cases (77%), bluish-red in three (8%), brown in two (5%) and blue or multicoloured in one case each. Lacunae were seen in only three cases (8%). Non-arborising telangiectasia on a reddish background was identified in 72% of cases. CONCLUSIONS Dermoscopy is helpful in improving the diagnosis of arteriovenous tumours and allows the observer to differentiate them from other cutaneous lesions such as other vascular tumours, basal cell carcinomas and melanomas.
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Affiliation(s)
- Pedro Zaballos
- Department of Dermatology, Sant Pau i Santa Tecla Hospital, Tarragona, Spain
| | - Carolina Medina
- Department of Dermatology, 'Doctor Negrín' University Hospital of Gran Canaria, Gran Canaria, Spain
| | - Luis J Del Pozo
- Department of Dermatology, University Hospital of Son Espases, Palma Mallorca, Spain
| | | | - José Bañuls
- Department of Dermatology, University Hospital of Alicante, Alicante, Spain
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28
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Pesce V, Bizzoca D, Notarnicola A, Piazzolla A, Vicenti G, Cimmino A, Fortarezza F, Maccagnano G, Solarino G, Moretti B. An intravascular papillary endothelial hyperplasia of the hand radiologically mimicking a hemangiopericytoma: A case report and literature review. SAGE Open Med Case Rep 2018; 6:2050313X17752851. [PMID: 29348916 PMCID: PMC5768252 DOI: 10.1177/2050313x17752851] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2017] [Accepted: 12/18/2017] [Indexed: 12/16/2022] Open
Abstract
Intravascular papillary endothelial hyperplasia is a rare benign vascular lesion of the skin and subcutaneous tissues, characterized by a reactive proliferation of endothelial cells that can present de novo in normal blood vessels (primary intravascular papillary endothelial hyperplasia), but it can also develop from a pre-existing vascular process (type II intravascular papillary endothelial hyperplasia), or it can arise in an extravascular location from a post-traumatic haematoma. The differential diagnosis between intravascular papillary endothelial hyperplasia and malignant vascular tumours can be challenging, due to the lacking of a specific radiologic description. We present a case of intravascular papillary endothelial hyperplasia of the hand radiologically mimicking a hemangiopericytoma.
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Affiliation(s)
- Vito Pesce
- Orthopaedic, Trauma and Spine Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari Aldo Moro and AOU Consorziale Policlinico, Bari, Italy
| | - Davide Bizzoca
- Orthopaedic, Trauma and Spine Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari Aldo Moro and AOU Consorziale Policlinico, Bari, Italy
| | - Angela Notarnicola
- Orthopaedic, Trauma and Spine Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari Aldo Moro and AOU Consorziale Policlinico, Bari, Italy
| | - Andrea Piazzolla
- Orthopaedic, Trauma and Spine Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari Aldo Moro and AOU Consorziale Policlinico, Bari, Italy
| | - Giovanni Vicenti
- Orthopaedic, Trauma and Spine Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari Aldo Moro and AOU Consorziale Policlinico, Bari, Italy
| | - Antonietta Cimmino
- Division of Pathology, Department of Emergency and Organ Transplants, School of Medicine, University of Bari Aldo Moro and AOU Consorziale Policlinico, Bari, Italy
| | - Francesco Fortarezza
- Division of Pathology, Department of Emergency and Organ Transplants, School of Medicine, University of Bari Aldo Moro and AOU Consorziale Policlinico, Bari, Italy
| | - Giuseppe Maccagnano
- Orthopaedic, Trauma and Spine Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari Aldo Moro and AOU Consorziale Policlinico, Bari, Italy
| | - Giuseppe Solarino
- Orthopaedic, Trauma and Spine Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari Aldo Moro and AOU Consorziale Policlinico, Bari, Italy
| | - Biagio Moretti
- Orthopaedic, Trauma and Spine Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari Aldo Moro and AOU Consorziale Policlinico, Bari, Italy
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Patel S, Kamath S, Shillingford NM, Zeinati C, Tolo V, Luu M. Restricted Range of Motion and a Cold Upper Extremity in a Two-Year-Old Boy: Kaposiform Hemangioendothelioma of the Bone and the Brachial Plexus: A Case Report. JBJS Case Connect 2017; 7:e79. [PMID: 29286963 DOI: 10.2106/jbjs.cc.17.00027] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
CASE We report a case of kaposiform hemangioendothelioma (KHE) of the scapula in a 2-year-old boy with motor and sensory abnormalities of the left upper extremity, suggesting brachial plexus involvement. The locally invasive nature prevented resection; sirolimus therapy resulted in improvement of the motor and sensory impairment, as well as decreased tumor size on imaging. CONCLUSION Osseous infiltration of KHE is known to occur, but its primary presentation in bone without skin involvement is rare and diagnostically challenging. Awareness of rare presentations of KHE, along with accurate histopathologic interpretation, is important to achieve a diagnosis and to differentiate KHE from more common vascular lesions (e.g., infantile hemangioma). Sirolimus therapy is emerging as a promising treatment for unresectable KHE.
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Affiliation(s)
- Sachi Patel
- Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, California
| | - Sonia Kamath
- Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, California
| | - Nick M Shillingford
- Departments of Pathology and Laboratory Medicine (N.M.S.) and Radiology (C.Z.), Children's Orthopaedic Center (V.T.), and Division of Dermatology (M.L.), Children's Hospital Los Angeles, Los Angeles, California
| | - Chadi Zeinati
- Departments of Pathology and Laboratory Medicine (N.M.S.) and Radiology (C.Z.), Children's Orthopaedic Center (V.T.), and Division of Dermatology (M.L.), Children's Hospital Los Angeles, Los Angeles, California
| | - Vernon Tolo
- Departments of Pathology and Laboratory Medicine (N.M.S.) and Radiology (C.Z.), Children's Orthopaedic Center (V.T.), and Division of Dermatology (M.L.), Children's Hospital Los Angeles, Los Angeles, California
| | - Minnelly Luu
- Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, California
- Departments of Pathology and Laboratory Medicine (N.M.S.) and Radiology (C.Z.), Children's Orthopaedic Center (V.T.), and Division of Dermatology (M.L.), Children's Hospital Los Angeles, Los Angeles, California
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Demirkan S. Management of a Recurrent Pyogenic Granuloma of the Inferior Lip with Pulsed Dye Laser: A Case Report. J Am Coll Clin Wound Spec 2017; 8:39-41. [PMID: 30276123 PMCID: PMC6161624 DOI: 10.1016/j.jccw.2017.08.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Pyogenic granuloma (PG) is a common, acquired, benign vascular reactive proliferation. This article presents the unique and successful pulsed dye laser treatment of a labial PG on a 60-year-old patient.
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Affiliation(s)
- Serkan Demirkan
- Kirikkale University Faculty of Medicine, Department of Dermatology and Venerology, No:14 Yenisehir District, Tahsin Duru Avenue, Yahsihan, Kirikkale, Turkey
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31
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Charalambous LT, Penumaka A, Komisarow JM, Hemmerich AC, Cummings TJ, Codd PJ, Friedman AH. Masson's tumor of the pineal region: case report. J Neurosurg 2017; 128:1725-1730. [PMID: 28777021 DOI: 10.3171/2017.2.jns162350] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Intracranial intravascular papillary endothelial hyperplasia (IPEH), also referred to as Masson's tumor, is a condition that rarely occurs in the nervous system. IPEH most frequently occurs extracranially in the skin of the face, skull, neck, and trunk and can easily be mistaken clinically, radiologically, and histologically for angiosarcoma, organizing hematoma, or other vascular malformations. IPEH accounts for roughly 2% of all vascular tumors and is extremely rare intracranially, with only 23 reported cases compared with more than 300 cases of IPEH occurring in the skin and subcutaneous tissue. To date, it has never been reported to occur in the pineal region. The authors report the case of a patient with an IPEH in the pineal region who underwent complex resection and experienced reversal of neurological symptoms.
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Jung HJ, Eun DH, Kim JY, Lee WJ, Kim DW, Lee SJ, Jang YH. Treatment of paediatric facial pyogenic granuloma with topical ingenol mebutate. Clin Exp Dermatol 2017; 42:912-913. [DOI: 10.1111/ced.13198] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/23/2016] [Indexed: 11/27/2022]
Affiliation(s)
- H. J. Jung
- Department of Dermatology; Kyungpook National University School of Medicine; 130, Dongduk-ro, Jung-gu Daegu 41944 Korea
| | - D. H. Eun
- Department of Dermatology; Kyungpook National University School of Medicine; 130, Dongduk-ro, Jung-gu Daegu 41944 Korea
| | - J. Y. Kim
- Department of Dermatology; Yonsei University College of Medicine; Seoul Korea
| | - W. J. Lee
- Department of Dermatology; Kyungpook National University School of Medicine; 130, Dongduk-ro, Jung-gu Daegu 41944 Korea
| | - D. W. Kim
- Department of Dermatology; Kyungpook National University School of Medicine; 130, Dongduk-ro, Jung-gu Daegu 41944 Korea
| | - S. J. Lee
- Department of Dermatology; Kyungpook National University School of Medicine; 130, Dongduk-ro, Jung-gu Daegu 41944 Korea
| | - Y. H. Jang
- Department of Dermatology; Kyungpook National University School of Medicine; 130, Dongduk-ro, Jung-gu Daegu 41944 Korea
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Abstract
The term, cutaneous pseudolymphoma (PSL), refers to a group of lymphocyte-rich infiltrates, which either clinically and/or histologically simulate cutaneous lymphomas. Clinicopathologic correlation is essential to achieve the final diagnosis in cutaneous PSL and to differentiate it from cutaneous lymphomas. A wide range of causative agents (eg, Borrelia, injections, tattoo, and arthropod bite) has been described. Based on clinical and/or histologic presentation, 4 main groups of cutaneous PSL can be distinguished: (1) nodular PSL, (2) pseudo-mycosis fungoides, (3) other PSLs (representing distinct clinical entities), and (4) intravascular PSL. The article gives an overview of the clinical and histologic characteristics of cutaneous PSLs.
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Affiliation(s)
- Christina Mitteldorf
- Department of Dermatology, HELIOS Klinikum Hildesheim, Senator-Braun-Allee 33, Hildesheim 31134, Germany.
| | - Werner Kempf
- Kempf & Pfaltz, Histologische Diagnostik, Seminarstrasse 1, 8057 Zürich, Zurich, Switzerland; Department of Dermatology, University Hospital Zurich, Gloriastrassse 31, 8091 Zürich, Switzerland
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Hammond MI, Miner AG, Piliang MP. Acral and digital angioleiomyomata: 14‐year experience at the Cleveland Clinic and review of the literature. J Cutan Pathol 2017; 44:342-345. [DOI: 10.1111/cup.12890] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2016] [Revised: 12/13/2016] [Accepted: 12/26/2016] [Indexed: 01/19/2023]
Affiliation(s)
| | - Andrew G. Miner
- Dermatology and Plastic Surgery InstituteCleveland Clinic Foundation Cleveland Ohio
| | - Melissa P. Piliang
- Dermatology and Plastic Surgery InstituteCleveland Clinic Foundation Cleveland Ohio
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Espinosa A, González J, García-Navas F. Intravascular Papillary Endothelial Hyperplasia at Foot Level: A Case Report and Literature Review. J Foot Ankle Surg 2017; 56:72-74. [PMID: 27989349 DOI: 10.1053/j.jfas.2016.09.016] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2016] [Indexed: 02/03/2023]
Abstract
Intravascular papillary endothelial hyperplasia is a benign vascular lesion. Its importance lies in the differential diagnosis of malignant vascular neoplasms, such as angiosarcoma, to avoid unnecessary aggressive treatment. We present a case report on this type of tumor at the dorsal region of the foot to describe the pathogenic and histologic features of this lesion.
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Affiliation(s)
- Alfonso Espinosa
- Department of Orthopaedics and Traumatology, Ciudad Real University Hospital, Ciudad Real, Spain.
| | - Juan González
- Department of Orthopaedics and Traumatology, Ciudad Real University Hospital, Ciudad Real, Spain
| | - Francisco García-Navas
- Department of Orthopaedics and Traumatology, Ciudad Real University Hospital, Ciudad Real, Spain
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36
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Mittal A, Sharma A, Gupta K, Khare A, Gupta L. A hairy plaque over upper back of a young child. Indian J Dermatol 2017; 62:223-225. [PMID: 28400652 PMCID: PMC5363156 DOI: 10.4103/ijd.ijd_240_15] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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37
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Avallone G, Helmbold P, Caniatti M, Stefanello D, Nayak RC, Roccabianca P. The Spectrum of Canine Cutaneous Perivascular Wall Tumors: Morphologic, Phenotypic and Clinical Characterization. Vet Pathol 2016; 44:607-20. [PMID: 17846233 DOI: 10.1354/vp.44-5-607] [Citation(s) in RCA: 71] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Perivascular wall tumors (PWTs) are defined as neoplasms deriving from mural cells of blood vessels, excluding the endothelial lining. The spectrum of human cutaneous PWT includes glomus tumor, hemangiopericytoma (HEP), myopericytoma, angioleiomyoma/sarcoma, angiomyofibroblastoma, and angiofibroma. The purpose of this study was to revise clinical presentation, cytology, histopathology, and immunohistology of canine cutaneous PWT with cytology typical of canine HEP. Diagnosis was established on the basis of vascular growth patterns (staghorn, placentoid, perivascular whorling, bundles from media) and immunohistology, including 7 smooth muscle markers and the cell membrane ganglioside of unknown origin recognized by the antibody 3G5 (CMG-3G5). Twenty cases were included. Ages ranged from 6 to 13 years; 12 dogs were males and 8 were females, and there was a prevalence of crossbreeds. Tumors arose from a single site with preferential acral location (10/20). Cytology revealed moderate to high cellularity in all cases, cohesive groups of cells (19/20), capillaries (18/20), and bi- to multinucleated cells (18/20). Six myopericytomas, 5 angioleiomyomas, 2 angioleiomyosarcomas, 2 HEP, 1 angiofibroma, and 1 adventitial tumor were identified. A definitive diagnosis was not possible in 3 cases. Smoothelin, heavy caldesmon, desmin, myosin, calponin, and CMG-3G5 were the most valuable markers to differentially diagnose canine PWT. Similar to reports in humans, canine HEP embodied a spectrum of neoplastic entities arising from different vascular mural cells. Before canine PWTs are assimilated into one prognostic category, a consistent classification and characterization of their biology is necessary. As proposed in humans, HEP should also be considered a diagnosis of exclusion in dogs.
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Affiliation(s)
- G Avallone
- DiPAV--Sezione Anatomia Patologica Veterinaria e Patologia Aviare, Facolta' di Medicina Veterinaria, Via Celoria 10, 20133 Milano, Italy
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38
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McClain CM, Haws AL, Galfione SK, Rapini RP, Hafeez Diwan A. Pyogenic Granuloma-Like Kaposi's Sarcoma. J Cutan Pathol 2016; 43:549-51. [DOI: 10.1111/cup.12679] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2015] [Revised: 07/06/2015] [Accepted: 08/09/2015] [Indexed: 11/28/2022]
Affiliation(s)
- Colt M. McClain
- Department of Pathology and Immunology; Baylor College of Medicine; Houston TX USA
| | - Andrea L. Haws
- Department of Dermatology; University of Texas Health Science Center; Houston TX USA
| | | | - Ronald P. Rapini
- Department of Dermatology; University of Texas Health Science Center; Houston TX USA
| | - A. Hafeez Diwan
- Department of Pathology and Immunology; Baylor College of Medicine; Houston TX USA
- Department of Dermatology; Baylor College of Medicine; Houston TX USA
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39
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Valero J, Gallart J, González D, Deus J, Lahoz M. Giant Glomus Tumor and Neuroma in the Fifth Ray A Case Report. J Am Podiatr Med Assoc 2016; 106:151-4. [PMID: 27031555 DOI: 10.7547/13-146] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
We present the case of a patient with a glomus tumor that was atypical because of its large size and histologic characteristics. It was located in the dorsal-distal zone of the fifth ray of the left foot and was associated with a neuroma under the fifth metatarsal head. Although the pain (of a neurologic type) was attributed to the neuroma, the unknown nature and evolution of the dorsal lesion (glomus tumor) made surgical treatment necessary. Surgery, together with compensating treatment of the functional alterations of the patient's feet (pronation of the subastragalar joint, supination of the forefoot, and fifth metatarsal overload syndrome), resolved the case.
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Affiliation(s)
- José Valero
- Department of Human Anatomy and Histology, Zaragoza University, Zaragoza, Spain
| | - José Gallart
- Department of Human Anatomy and Histology, Zaragoza University, Zaragoza, Spain
| | - David González
- Department of Human Anatomy and Histology, Zaragoza University, Zaragoza, Spain
| | - Javier Deus
- Department of Surgery, Obstetrics and Gynecology, Zaragoza University, Zaragoza, Spain
| | - Manuel Lahoz
- Department of Human Anatomy and Histology, Zaragoza University, Zaragoza, Spain
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40
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Abstract
A 14-year-old girl stated that she has vulvar pruritus, pain, and bleeding and underwent a complete gynecological evaluation during which a suspicious 2-cm achromic lesion on her vulva was observed. Initially, it was suspected to be a pyogenic granuloma, in relation to the patient's age. A biopsy was taken, and a histopathological diagnosis of amelanotic mucosal melanoma was made. Pyogenic granuloma is a reactive hyperproliferation vascular response to trauma or other stimuli. It predominantly occurs in the second decade of life in young females, in relation to the vascular effects of female hormones. Primary mucosal melanoma is a rare and aggressive neoplasm, characterized by a higher aggressiveness and a worse prognosis than her cutaneous counterpart. The female genital tract is the second most common site of onset of mucosal melanoma; it represents the 3% of melanomas diagnosed in women.
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41
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Freites-Martinez A, Moreno-Torres A, Núñez AH, Martinez-Sanchez D, Huerta-Brogeras M, Borbujo J. Angioma serpiginosum: report of an unusual acral case and review of the literature. An Bras Dermatol 2016; 90:26-8. [PMID: 26312666 PMCID: PMC4540500 DOI: 10.1590/abd1806-4841.20153794] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2014] [Accepted: 08/12/2014] [Indexed: 12/02/2022] Open
Abstract
We report the case of a 35-year-old woman with deep-red asymptomatic macules on the
plantar and dorsal skin of the right great toe. Histopathologic fi ndings were
compatible with Angioma serpiginosum. Immunohistochemical stains for estrogens and
progesterone receptors were negative. Dermoscopy showed an erythematous parallel
ridge pattern with double rows of irregular dots and globules. We report an unusual
case of angioma serpiginosum with acral volar skin involvement. The dermoscopic
features described may aid in the diagnosis of AS in this specifi c skin area. Acral
volar skin involvement must be included in the clinical spectrum of Angioma
serpiginosum and in the differential diagnosis of acral vascular lesions.
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42
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Netchiporouk E, Moreau L, Ramirez LP, Castillo PAC, Bravo FP, Del Solar MC, Sasseville D, Ramos C. Eruptive disseminated pyogenic granulomas following lightning injury. Dermatology 2015; 230:199-203. [PMID: 25721442 DOI: 10.1159/000371880] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2014] [Accepted: 01/02/2015] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Pyogenic granuloma (PG) is a common benign acquired vascular tumor. It classically presents as a solitary friable nodule on the face or distal extremities. Disseminated eruption is rare and can occur spontaneously or secondary to various triggers, including burn injury. To date, the literature reports only 13 cases of eruptive PGs following burn injury, most from exposure to boiling milk or water. We report the first case of disseminated eruptive PGs following a lightning injury. CASE A 17-year-old previously healthy boy developed second- and third-degree burns following lightning injury. Two weeks later, he developed widespread dark-purple polypoid exophytic tumors ranging from 1 to 10 cm in diameter extending beyond the limits of the initial burn injury. The lesions were friable and often formed erosions and crusts. The patient was otherwise well and laboratory and microbiological investigations were normal. Excisional biopsy of a lesion was diagnostic of PG and the patient was treated with surgical excision of the lesions, without recurrence. CONCLUSION The exact pathogenesis of multiple PGs remains unknown. Several pathogenic mechanisms have been suggested, including production of angiogenic factors that stimulate endothelial proliferation and formation of minute arteriovenous fistulas by trauma.
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Abstract
The diagnosis of vascular tumors is a challenging area in soft tissue pathology. Epithelioid vascular tumors pose a particular challenge. Due to the epithelioid morphology of the tumor cells, they can be misdiagnosed as a variety of other entities, including metastatic carcinoma or epithelioid sarcoma. Furthermore, it can be difficult to distinguish between different epithelioid vascular tumors. This review focuses on vascular tumors characterized by epithelioid endothelial cells, including epithelioid hemangioma, cutaneous epithelioid angiomatous nodule, epithelioid hemangioendothelioma, epithelioid sarcomalike hemangioendothelioma/pseudomyogenic hemangioendothelioma, and epithelioid angiosarcoma.
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Affiliation(s)
- Jennifer S Ko
- Department of Pathology, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA
| | - Steven D Billings
- Department of Pathology, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
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44
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Pesapane F, Nazzaro G, Alberti-Violetti S, Gianotti R. A case of acquired tufted angioma in adulthood. An Bras Dermatol 2015; 90:16-8. [PMID: 26312663 PMCID: PMC4540497 DOI: 10.1590/abd1806-4841.20153733] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2014] [Accepted: 06/16/2014] [Indexed: 12/02/2022] Open
Abstract
Tufted angioma is a rare vascular tumor whose name derives from its histopathological
appearance, characterized by tufts of capillaries within the dermis. Its etiology and
pathogenesis are uncertain. Tufted angioma typically occurs during infancy or early
childhood and displays various clinical patterns. It may present as a subtle
stain-like area that later thickens as a large plaque, infi ltrated or dusky
blue-purple lesion, or as an exophytic, fi rm, violaceous, cutaneous nodule. Medical
treatment is not necessary for tufted angioma, given its benign nature and slow
progression. Only clinical follow-up is therefore recommended.
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Affiliation(s)
- Filippo Pesapane
- Ospedale Maggiore Policlinico, Fondazione IRCCS Ca' Granda, Milan, IT
| | - Gianluca Nazzaro
- Ospedale Maggiore Policlinico, Fondazione IRCCS Ca' Granda, Milan, IT
| | | | - Raffaele Gianotti
- Ospedale Maggiore Policlinico, Fondazione IRCCS Ca' Granda, Milan, IT
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45
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Mayor Ibarguren A, González Ramos J, Beato Merino M, Maseda Pedrero R, Gómez Fernández C, Herranz Pinto P. Vascular Tumor on the Forehead of an HIV Patient. Indian J Dermatol 2015; 60:423. [PMID: 26288449 PMCID: PMC4533579 DOI: 10.4103/0019-5154.160536] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
Cirsoid aneurysm is a small vascular proliferation characterized by small to medium-sized channels with features of arteries and veins, that present as small, blue or red asymptomatic papule. We report a case of a crisoid aneurysm on the forhead of an HIV patient that suggested a Kaposi sarcoma as a differential diagnosis.
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46
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Wobser M, Ernestus K, Hamm H. Pädiatrische Dermatohistopathologie - Histologie von Dermatosen im Neugeborenen- und Säuglingsalter. J Dtsch Dermatol Ges 2015. [DOI: 10.1111/ddg.12651_suppl] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Marion Wobser
- Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie; Universitätsklinikum Würzburg
| | - Karen Ernestus
- Institut für Pathologie; Julius-Maximilians-Universität Würzburg
| | - Henning Hamm
- Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie; Universitätsklinikum Würzburg
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47
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Wobser M, Ernestus K, Hamm H. Pediatric dermatohistopathology--histopathology of skin diseases in newborns and infants. J Dtsch Dermatol Ges 2015; 13:535-48. [PMID: 26018366 DOI: 10.1111/ddg.12651] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/29/2015] [Indexed: 12/22/2022]
Abstract
While neonatal skin physiology has been thoroughly examined using non-invasive techniques in recent years, only few systematic studies and review articles addressing the histopathology of neonatal skin have been published thus far. In most cases, histopathological findings of dermatoses in neonatal skin do not significantly differ from those seen in adult skin. Nevertheless, a comprehensive knowledge of embryonic and fetal skin development as well as the microanatomical structure of neonatal skin can contribute to a better understanding of various dermatoses of infancy. In the first part of this review article, we present the histopathological features of such skin diseases, which, though generally rare, almost exclusively appear during the first weeks of life due to distinctive structural and functional features of neonatal skin. The second part is dedicated to classic dermatoses of infancy and their histopathological features.
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Affiliation(s)
- Marion Wobser
- Department of Dermatology, Venereology, and Allergology, Würzburg University Hospital
| | - Karen Ernestus
- Institute of Pathology, Julius Maximilian University Würzburg
| | - Henning Hamm
- Department of Dermatology, Venereology, and Allergology, Würzburg University Hospital
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48
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Intravascular papillary endothelial hyperplasia presenting in a Mohs surgical scar. Dermatol Surg 2015; 40:1444-6. [PMID: 25365358 DOI: 10.1097/dss.0000000000000181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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49
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Ito S, Oda T, Matsuo A, Takechi H, Uchida T, Watanabe A, Kono T, Shimazaki H, Tamai S, Oshima N, Kumagai H. Observation of Angiolymphoid Hyperplasia with Eosinophilia (ALHE) at Three Arterial Sites and Its Association with Membranous Nephropathy. Intern Med 2015; 54:1933-9. [PMID: 26234240 DOI: 10.2169/internalmedicine.54.4031] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
We herein report a case involving the systemic presentation of angiolymphoid hyperplasia with eosinophilia (ALHE) in association with membranous nephropathy (MN). A 34-year-old Japanese man presented with leg edema and bilateral temporal nodules. He had a history of Buerger's disease and recurrent coronary stenosis. A renal biopsy performed to assess nephrotic syndrome revealed MN. Furthermore, a temporal nodule was excised, and ALHE was diagnosed. We reevaluated the coronary and posterior tibial artery specimens obtained in his twenties and presumed that these lesions were also vascular tumors arising from ALHE. The association of ALHE and MN is quite rare.
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Affiliation(s)
- Seigo Ito
- Department of Nephrology and Endocrinology, National Defense Medical College, Japan
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50
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Schnebelen AM, Page J, Gardner JM, Shalin SC. Benign lymphangioendothelioma presenting as a giant flank mass. J Cutan Pathol 2014; 42:217-221. [PMID: 25410589 DOI: 10.1111/cup.12453] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2014] [Revised: 03/24/2014] [Accepted: 05/12/2014] [Indexed: 11/27/2022]
Abstract
Benign lymphangioendothelioma is a rare lesion of controversial etiology and a histopathologic mimic of Kaposi sarcoma and so-called 'well-differentiated' angiosarcoma. Its most typical clinical presentation is as a slowly expanding, erythematous patch or plaque; it rarely presents as a large mass. We report the second case of a giant benign lymphangioendothelioma, which arose as a serpiginous mass involving most of the flank of an elderly male with no prior radiation exposure and with a remote history of herpes zoster infection. A biopsy revealed numerous anastomosing vascular channels extending from the superficial dermis to the subcutis that were dilated to progressively slit-like in architecture. The endothelial cells lacked cytologic atypia, hobnailing, or significant mitotic activity, and human herpesvirus-8 expression was absent. Positivity for podoplanin (D2-40) was observed in the endothelial cells, supporting a lymphatic phenotype. Furthermore, the lesional cells lacked immunohistochemical expression of Wilms tumor 1, providing further support of a malformative - rather than neoplastic - pathogenesis.
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Affiliation(s)
- Alicia M Schnebelen
- Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - James Page
- Arkansas Skin Cancer Center, Little Rock, AR, USA
| | - Jerad M Gardner
- Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Sara C Shalin
- Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
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