Giant cell angiofibroma or localized periorbital lymphedema?
Identifieur interne : 005E20 ( Ncbi/Curation ); précédent : 005E19; suivant : 005E21Giant cell angiofibroma or localized periorbital lymphedema?
Auteurs : Michael C. Lynch [États-Unis] ; Catherine G. Chung ; Charles S. Specht ; Michael Wilkinson ; Loren E. ClarkeSource :
- Journal of cutaneous pathology [ 1600-0560 ] ; 2013.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Angiofibrome, Cellules géantes, Lymphoedème, Tumeurs cutanées, Tumeurs de l'oeil.
- Adulte d'âge moyen, Diagnostic différentiel, Femelle, Humains.
English descriptors
- KwdEn :
- MESH :
- pathology : Angiofibroma, Eye Neoplasms, Giant Cells, Lymphedema, Skin Neoplasms.
- Diagnosis, Differential, Female, Humans, Middle Aged.
Abstract
Giant cell angiofibroma represents a rare soft tissue neoplasm with a predilection for the orbit. We recently encountered a mass removed from the lower eyelid of a 56-year-old female that histopathologically resembled giant cell angiofibroma. The process consisted of haphazardly arranged CD34-positive spindled and multinucleated cells within an edematous, densely vascular stroma. However, the patient had recently undergone laryngectomy and radiotherapy for a laryngeal squamous cell carcinoma. A similar mass had arisen on the contralateral eyelid, and both had developed several months post-therapy. Lymphedema of the orbit can present as tumor-like nodules and in some cases may share histopathologic features purported to be characteristic of giant cell angiofibroma. A relationship between giant cell angiofibroma and lymphedema has not been established, but our case suggests there may be one. The potential overlap of these two conditions should be recognized, as should other entities that may enter the differential diagnosis.
DOI: 10.1111/cup.12225
PubMed: 24117715
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pubmed:24117715Le document en format XML
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<author><name sortKey="Lynch, Michael C" sort="Lynch, Michael C" uniqKey="Lynch M" first="Michael C" last="Lynch">Michael C. Lynch</name>
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<wicri:regionArea>Department of Pathology, The Penn State Hershey Medical Center, Hershey, PA</wicri:regionArea>
<placeName><region type="state">Pennsylvanie</region>
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<author><name sortKey="Chung, Catherine G" sort="Chung, Catherine G" uniqKey="Chung C" first="Catherine G" last="Chung">Catherine G. Chung</name>
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<author><name sortKey="Specht, Charles S" sort="Specht, Charles S" uniqKey="Specht C" first="Charles S" last="Specht">Charles S. Specht</name>
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<author><name sortKey="Specht, Charles S" sort="Specht, Charles S" uniqKey="Specht C" first="Charles S" last="Specht">Charles S. Specht</name>
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<author><name sortKey="Wilkinson, Michael" sort="Wilkinson, Michael" uniqKey="Wilkinson M" first="Michael" last="Wilkinson">Michael Wilkinson</name>
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<term>Eye Neoplasms (pathology)</term>
<term>Female</term>
<term>Giant Cells (pathology)</term>
<term>Humans</term>
<term>Lymphedema (pathology)</term>
<term>Middle Aged</term>
<term>Skin Neoplasms (pathology)</term>
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<term>Cellules géantes (anatomopathologie)</term>
<term>Diagnostic différentiel</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Tumeurs cutanées (anatomopathologie)</term>
<term>Tumeurs de l'oeil (anatomopathologie)</term>
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<term>Cellules géantes</term>
<term>Lymphoedème</term>
<term>Tumeurs cutanées</term>
<term>Tumeurs de l'oeil</term>
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<term>Skin Neoplasms</term>
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<front><div type="abstract" xml:lang="en">Giant cell angiofibroma represents a rare soft tissue neoplasm with a predilection for the orbit. We recently encountered a mass removed from the lower eyelid of a 56-year-old female that histopathologically resembled giant cell angiofibroma. The process consisted of haphazardly arranged CD34-positive spindled and multinucleated cells within an edematous, densely vascular stroma. However, the patient had recently undergone laryngectomy and radiotherapy for a laryngeal squamous cell carcinoma. A similar mass had arisen on the contralateral eyelid, and both had developed several months post-therapy. Lymphedema of the orbit can present as tumor-like nodules and in some cases may share histopathologic features purported to be characteristic of giant cell angiofibroma. A relationship between giant cell angiofibroma and lymphedema has not been established, but our case suggests there may be one. The potential overlap of these two conditions should be recognized, as should other entities that may enter the differential diagnosis.</div>
</front>
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