Atypical retiform hemangioendothelioma arising in a patient with Milroy disease: a case report and review of the literature.
Identifieur interne : 000761 ( Main/Exploration ); précédent : 000760; suivant : 000762Atypical retiform hemangioendothelioma arising in a patient with Milroy disease: a case report and review of the literature.
Auteurs : Aileen Grace P. Arriola [États-Unis] ; Laura A. Taylor [États-Unis] ; Eseosa Asemota [États-Unis] ; Markus D. Boos [États-Unis] ; David E. Elder [États-Unis] ; Kristy L. Weber [États-Unis] ; Robert G. Micheletti [États-Unis] ; Paul J. Zhang [États-Unis]Source :
- Journal of cutaneous pathology [ 1600-0560 ] ; 2017.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Hémangioendothéliome, Tumeurs cutanées, Tumeurs vasculaires.
- Adulte d'âge moyen, Femelle, Humains, Lymphoedème.
English descriptors
- KwdEn :
- MESH :
- complications : Lymphedema.
- pathology : Hemangioendothelioma, Skin Neoplasms, Vascular Neoplasms.
- Female, Humans, Middle Aged.
Abstract
Retiform hemangioendothelioma (RH) is a rare vascular neoplasm with a high rate of local recurrence and low metastatic potential. We describe an unusual case of RH in a 45-year-old patient with Milroy disease, with a prominent solid component diffusely involving a chronic lymphedematous leg. This case is consistent with the postulated relationship between lymphedema and vascular neoplasms developing as a result of local immune dysfunction, and highlights the need to closely monitor patients with Milroy disease for pathologic changes. Our case highlights a unique example of RH with atypical features. There are several noteworthy unusual clinical and histologic findings including diffuse involvement of an entire limb, solid component with cytologic atypia, D2-40 expression, and first-time-reported association with Milroy disease. Given the atypical histologic presentation of cytologic atypia, solid areas and atypical immunohistochemical profile with D2-40 positivity, this case could cause diagnostic difficulty, especially in the setting of such a broad clinical differential.
DOI: 10.1111/cup.12844
PubMed: 27730656
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">Retiform hemangioendothelioma (RH) is a rare vascular neoplasm with a high rate of local recurrence and low metastatic potential. We describe an unusual case of RH in a 45-year-old patient with Milroy disease, with a prominent solid component diffusely involving a chronic lymphedematous leg. This case is consistent with the postulated relationship between lymphedema and vascular neoplasms developing as a result of local immune dysfunction, and highlights the need to closely monitor patients with Milroy disease for pathologic changes. Our case highlights a unique example of RH with atypical features. There are several noteworthy unusual clinical and histologic findings including diffuse involvement of an entire limb, solid component with cytologic atypia, D2-40 expression, and first-time-reported association with Milroy disease. Given the atypical histologic presentation of cytologic atypia, solid areas and atypical immunohistochemical profile with D2-40 positivity, this case could cause diagnostic difficulty, especially in the setting of such a broad clinical differential.</div>
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<name sortKey="Asemota, Eseosa" sort="Asemota, Eseosa" uniqKey="Asemota E" first="Eseosa" last="Asemota">Eseosa Asemota</name>
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<name sortKey="Micheletti, Robert G" sort="Micheletti, Robert G" uniqKey="Micheletti R" first="Robert G" last="Micheletti">Robert G. Micheletti</name>
<name sortKey="Taylor, Laura A" sort="Taylor, Laura A" uniqKey="Taylor L" first="Laura A" last="Taylor">Laura A. Taylor</name>
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