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SKINDIA QUIZ
Year : 2016  |  Volume : 7  |  Issue : 1  |  Page : 64-65  

SkIndia Quiz 22: Scalp Tumor


Department of Dermatology, Centro Hospitalar Lisboa Norte - Hospital de Santa Maria, Lisbon, Portugal

Date of Web Publication18-Jan-2016

Correspondence Address:
Dr. Leonor Neto Lopes
Avenida Prof. Egas Moniz, 1649-028 Lisboa
Portugal
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5178.169808

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How to cite this article:
Lopes LN, Soares-Almeida L, Filipe P. SkIndia Quiz 22: Scalp Tumor. Indian Dermatol Online J 2016;7:64-5

How to cite this URL:
Lopes LN, Soares-Almeida L, Filipe P. SkIndia Quiz 22: Scalp Tumor. Indian Dermatol Online J [serial online] 2016 [cited 2021 Oct 24];7:64-5. Available from: https://www.idoj.in/text.asp?2016/7/1/64/169808

A 72-year-old Caucasian male presented with a four month history of an asymptomatic, violaceous, ulcerated tumor over the scalp of 3 cm diameter surrounded by multifocal violaceous nodules [Figure 1]. He reported local trauma 1 month prior to appearance of the lesion. There was no lymphadenopathy or hepatosplenomegaly. Histopathologic examination showed a vascular tumoral lesion occupying the entire dermis, with a jagged irregular branching angiomatous pattern with vascular clefts between the collagen fibers filled with erythrocytes and lymphocytes around vessels [Figure 2]a. The endothelial cells were polygonal with hyperchromatic nuclei and rare atypical mitoses. The immunostaining was positive for CD31, CD34 and FVIII-related antigen [Figure 2]b.
Figure 1: Violaceous ulcerated tumor on the scalp surrounded by multifocal violaceous nodules

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Figure 2: (a) Histopathologic examination showed a vascular tumoral lesion on the dermis, with irregular vascular clefts between the collagen fibers filled with erythrocytes and lymphocytes (H and E ×100), (b) Immunostaining positive for FVIII-related antigen

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   References Top

1.
Jones EW. Malignant angioendothelioma of the skin. Br J Dermatol 1964;76:21-39.  Back to cited text no. 1
    
2.
Pawlik TM, Paulino AF, McGinn CJ, Baker LH, Cohen. DS, Morris JS, et al. Cutaneous angiosarcoma of the scalp: A multidisciplinary approach. Cancer 2003;98:1716-26.  Back to cited text no. 2
    
3.
Sangüeza OP, Requena. L. Pathology of Vascular Skin Lesions: Clinicopathologic Correlations . Totowa, New Jersey: Humana Press; 2003.  Back to cited text no. 3
    
4.
Stewart FW, Treves N. Lymphangiosarcoma in postmastectomy lymphedema; a report of six cases in elephantiasis chirurgica. Cancer 1948;1:64-81.  Back to cited text no. 4
    
5.
Yang XJ, Zheng JW, Zhou Q, Ye WM, Wang YA, Zhu HG, et al. Angiosarcomas of the head and neck: A clinico.immunohistochemical study of 8 consecutive patients. Int J Oral Maxillofac Surg 2010;39:568-72.  Back to cited text no. 5
    
6.
Masuzawa M, Mikami T, Numata Y, Tokuyama W, Masuzawa M, Murakumo Y, et al. Association of D2-40 and MMP.1 expression with cyst formation in lung metastatic lesions of cutaneous angiosarcoma on the scalp: Immunohistochemical analysis of 23 autopsy cases. Hum Pathol 2013;44:2751-9.  Back to cited text no. 6
    
7.
Morgan MB, Swann M, Somach S, Eng W, Smoller B. Cutaneous angiosarcoma: A case series with prognostic correlation. J Am Acad Dermatol 2004;50:867-74.  Back to cited text no. 7
    


    Figures

  [Figure 1], [Figure 2]



 

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