Skin, Cutaneous angiosarcoma, H&E stain [LMP58515]
Keywords
Cutaneous angiosarcoma, vascular
Clinical History
66 year-old woman with 3 discrete scalp lesions; asymptomatic at presentation.
Clinical Discussion
Cutaneous angiosarcoma often involves the face and scalp of elderly patients in the form of multifocal, ill-defined, bruise-like areas. It spreads rapidly with a poor prognosis: 5-year survival = 10-30%. It is characterized by irregularly anastomosing vascular channels dissecting through the dermis. The vessels may show variable degree of differentiation ranging from flattened innocuous appearance to large, hobnailed, endothelial cells with hyperchromatic nuclei and pleomorphism.
The biopsy shows irregular/atypical vascular spaces involving the superficial dermis with extension deeply and around adnexal structures. The vascular spaces are positive for ERG (vascular marker) and negative for HHV8 (ruling out Kaposi sarcoma).
This slide shows H&E stain. See Related Content for ERG and HHV8 stains.
The biopsy shows irregular/atypical vascular spaces involving the superficial dermis with extension deeply and around adnexal structures. The vascular spaces are positive for ERG (vascular marker) and negative for HHV8 (ruling out Kaposi sarcoma).
This slide shows H&E stain. See Related Content for ERG and HHV8 stains.
Related Content
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