Microvenular hemangioma D18.0

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 05.08.2021

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Synonym(s)

microcapillary hemangioma; microvenular hemangioma

History
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Hunt, Santa Cruz and Barr, 1991

Definition
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Very rare, acquired, solitary, benign, slowly growing, asymptomatic vascular tumor.

Occurrence/Epidemiology
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w:m=6:4.

Etiopathogenesis
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Unknown.

Manifestation
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Most often occurring in young adults (in a larger study, the average was 39 years - 16 months - 69 years). Occurrence associated with POEMS syndrome and pregnancy has been described.

Localization
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Extremities, preferably forearms, trunk.

Clinical features
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Symptomless, red or brown-red, soft or soft-elastic plaque with a smooth surface (rarely larger than 2 cm Ø). Clinically reminiscent of Kaposi's sarcoma. Occasionally occurring together with acute myeloid leukaemia.

Histology
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Circumscribed, mostly blurred vascular proliferations in the papillary and reticular dermis, with bizarre anastomosing pericyte-rich venules (smooth muscle actin positive) with flattened endothelia and spindle cell nuclei. Condensed collagenous stroma, endothelial atypia, papillae (multilayering) and mitoses are missing.

Differential diagnosis
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Therapy
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Excision, laser therapy with ablating laser.

Literature
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  1. Chang SE et al (2003) Microvenular hemangioma in a boy with acute myelogenous leukemia. Pediatr Dermatol 20: 266-267
  2. Ehara Y et al (2019) Multiple microvenular hemangioma eruptively concentrated on an adult face: Importance of clinical differential diagnosis. J Dermatol 46:e205-e206.
  3. Fukanaga M, Ushigome S (1998) Microvenular hemangioma. Path Int 48: 237-239
  4. Hunt SJ, Santa Cruz DJ, Barr RJ (1991) Microvenular hemangioma. J Cutan Pathol 18: 235-240
  5. Kim YC et al (2003) Microvenular hemangioma. Dermatology 206: 161-164
  6. Napekoski KM et al (2014) Microvenular hemangioma: aclinicopathologic
    review of 13 cases. J Cutan Pathol 41:816-822.

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 05.08.2021