1
|
Hua S, Zeng S, Wang L. Multiple cutaneous epithelioid angiomatous nodules. J Dtsch Dermatol Ges 2023. [PMID: 37161916 DOI: 10.1111/ddg.15075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2022] [Accepted: 03/03/2023] [Indexed: 05/11/2023]
Affiliation(s)
- Sirui Hua
- Department of Dermatology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Shihua Zeng
- Department of Dermatology, Chengdu Second People's Hospital, Chengdu, Sichuan, China
| | - Lin Wang
- Department of Dermatology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| |
Collapse
|
2
|
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.
Collapse
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
| |
Collapse
|
3
|
Dubus M, Kanitakis J. Cutaneous Epithelioid Angiomatous Nodule: Report of a New Case and Literature Review. Dermatopathology (Basel) 2023; 10:112-119. [PMID: 36975386 PMCID: PMC10047158 DOI: 10.3390/dermatopathology10010017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 02/19/2023] [Accepted: 02/27/2023] [Indexed: 03/14/2023] Open
Abstract
Cutaneous epithelioid angiomatous nodule is a rare benign vascular tumour of the skin with characteristic microscopic features, of which 65 cases have so far been reported after the initial description of this entity in 2004. We present here a new typical case of this rare lesion and provide a comprehensive review of all the previously published cases, delineating the salient clinicopathological features of this rare tumour.
Collapse
Affiliation(s)
- Margaux Dubus
- Department of Dermatology, University of Grenoble Alpes, 38700 La Tronche, France
- Department of Dermatology, Ed. Herriot Hospital Group, University of Lyon, 69003 Lyon, France
| | - Jean Kanitakis
- Department of Dermatology, Ed. Herriot Hospital Group, University of Lyon, 69003 Lyon, France
- Department of Pathology, Centre Hospitalier Lyon Sud, 69310 Pierre Bénite, France
- Correspondence:
| |
Collapse
|
4
|
Goto K, Ogawa K, Fukai T, Miura K, Yanagihara S, Honma K, Motoi T. Categorization of cutaneous epithelioid angiomatous nodule as epithelioid hemangioma or angiolymphoid hyperplasia with eosinophilia: clinicopathologic, immunohistochemical, and molecular analyses of seven lesions. J Cutan Pathol 2022; 49:765-771. [PMID: 35490255 DOI: 10.1111/cup.14246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 03/28/2022] [Accepted: 04/25/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND The status of cutaneous epithelioid angiomatous nodule (CEAN) as a distinct entity remains controversial. This study investigated the relationship between CEAN and epithelioid hemangioma/angiolymphoid hyperplasia with eosinophilia (ALHE). METHODS Data of seven lesions with CEAN features from four cases (Cases 1-4:61-year-old, 76-year-old, 53-year-old, and 21-year-old men, respectively) were investigated. RESULTS Cases 1 and 2 showed multiple lesions in the head and neck region, but Cases 3 and 4 showed solitary lesions on the back and scalp, respectively. Moreover, the histopathologic findings of the lesions of Cases 1 and 2 were consistent with those of conventional epithelioid hemangioma or classic cutaneous ALHE. Diffuse immunoexpression of FOSB was observed in Cases 1 and 2, but FOSB split signals were absent in break-apart fluorescence in situ hybridization (FISH). In contrast, the histopathologic findings of the lesions of Cases 3 and 4 were consistent with those of cellular-type epithelioid hemangiomas. Diffuse immunoreactivity for c-FOS was observed in Cases 3 and 4, and split signals of FOS were present in break-apart FISH in Case 3. CONCLUSIONS This study demonstrated that the seven tumors with CEAN features could be reclassified under the epithelioid hemangioma/ALHE group, although the small sample size is a limitation. This article is protected by copyright. All rights reserved.
Collapse
Affiliation(s)
- Keisuke Goto
- Department of Diagnostic Pathology and Cytology, Osaka International Cancer Institute, Osaka, Japan.,Department of Pathology, Tokyo Metropolitan Cancer and Infectious Disease Center Komagome Hospital, Tokyo, Japan.,Department of Pathology, Itabashi Central Clinical Laboratory, Tokyo, Japan.,Department of Anatomic Pathology, Tokyo Medical University, Tokyo, Japan.,Department of Diagnostic Pathology, Shizuoka Cancer Center Hospital, Sunto, Japan.,Department of Clinical Laboratory and Diagnostic Pathology, Osaka National Hospital, Osaka, Japan.,Department of Dermatology, Hyogo Cancer Center, Akashi, Japan.,Department of Dermato-Oncology/Dermatology, National Hospital Organization Kagoshima Medical Center, Kagoshima, Japan
| | - Kohei Ogawa
- Department of Dermatology, Nara Medical University School of Medicine, Kashihara, Japan
| | - Tatsuo Fukai
- Department of Dermatology and Allergology, Juntendo Nerima Hospital, Tokyo, Japan
| | - Keiko Miura
- Department of Surgical Pathology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Shigeto Yanagihara
- Department of Dermatology, Kindai University Faculty of Medicine, Osaka-Sayama, Japan
| | - Keiichiro Honma
- Department of Diagnostic Pathology and Cytology, Osaka International Cancer Institute, Osaka, Japan
| | - Toru Motoi
- Department of Pathology, Tokyo Metropolitan Cancer and Infectious Disease Center Komagome Hospital, Tokyo, Japan
| |
Collapse
|
5
|
Cheng DJ, Zheng XY, Tang SF. Large cutaneous epithelioid angiomatous nodules in a patient with nephrotic syndrome: A case report. World J Clin Cases 2020; 8:600-605. [PMID: 32110672 PMCID: PMC7031841 DOI: 10.12998/wjcc.v8.i3.600] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Revised: 12/24/2019] [Accepted: 01/08/2020] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Cutaneous epithelioid angiomatous nodules (CEAN) are rare, benign, vascular lesions characterized by benign proliferation of endothelial cells with prominent epithelioid features, which can be easily confused with benign and malignant vascular tumors. However, the etiology of CEAN remains unclear, and no association with infection, trauma, or immunosuppression has been described. This case study indicated that CEAN is closely related to the patient’s impaired immune status and may be induced by cyclosporine.
CASE SUMMARY A 19-year-old boy with nephrotic syndrome (NS) developed large CEAN on the left foot during treatment for NS. He had repeated relapses of edema in the past 6 years and different types of immunosuppressants were administered including methylprednisolone, mycophenolate mofetil, tacrolimus and cyclosporine; the dosages of these drugs were frequently adjusted. The patient had been receiving cyclosporine and methylprednisolone for 7 mo before he developed CEAN. Cyclosporine was discontinued due to its side effects on skin. After cessation of cyclosporine and 16 mo follow-up, the nodules gradually disappeared without any other treatment for the CEAN.
CONCLUSION Impaired immune status is proposed to be a risk factor for CEAN, which may be induced by cyclosporine.
Collapse
Affiliation(s)
- De-Jin Cheng
- First School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China
| | - Xiang-Yue Zheng
- Division of Ophthalmology, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China
| | - Shui-Fu Tang
- Division of Nephrology, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China
| |
Collapse
|
6
|
Sorrells TC, Winn A, Sulit DJ. Granular cell cutaneous epithelioid angiomatous nodule. J Cutan Pathol 2019; 46:864-866. [PMID: 31209887 DOI: 10.1111/cup.13527] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2019] [Revised: 05/28/2019] [Accepted: 06/11/2019] [Indexed: 11/29/2022]
Abstract
Cutaneous epithelioid angiomatous nodule is an uncommon vascular lesion usually described as composed of epithelioid endothelial cells with vesicular nuclei and eosinophilic cytoplasm. A granular cell variant has not been previously described. Endothelial cells can present with granular cytoplasm as documented with reports of granular cell angiosarcoma. The granularity is thought to be due to increased intracytoplasmic lysosomes. We present a case of a benign superficial vascular lesion composed of a sheet-like proliferation of epithelioid endothelial cells with distinctly granular cytoplasm confirmed as of endothelial origin with positive staining for CD31 and ERG.
Collapse
Affiliation(s)
| | - Aubrey Winn
- Department of Dermatology, Naval Medical Center, San Diego, California
| | - Daryl J Sulit
- Department of Dermatology, Naval Medical Center, San Diego, California
| |
Collapse
|