Epithelioid Cell Histiocytoma with Underlying Artery Damage

Although epithelioid cell histiocytoma is considered a variant of fibrous histiocytoma (dermatofibroma), the histogenesis of this condition remains controversial. A recent investigation suggested the possibility that epithelioid cell histiocytoma is an angioformative fibrous histiocytoma. We report...

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Veröffentlicht in:Journal of dermatology 2005-09, Vol.32 (9), p.721-726
Hauptverfasser: Miura, Yoshihiro, Misago, Noriyuki, Narisawa, Yutaka
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creator Miura, Yoshihiro
Misago, Noriyuki
Narisawa, Yutaka
description Although epithelioid cell histiocytoma is considered a variant of fibrous histiocytoma (dermatofibroma), the histogenesis of this condition remains controversial. A recent investigation suggested the possibility that epithelioid cell histiocytoma is an angioformative fibrous histiocytoma. We report a case of epithelioid cell histiocytoma underlying a damaged artery. This epithelioid cell histiocytoma with a central area of hemorrhage was associated with a medium‐sized artery in the reticular dermis running vertically up to the lesion. Both the artery in the reticular dermis and its centrally branched artery in the subcutaneous tissue showed mural injury and intraluminal epithelioid endothelial proliferation. Immunohistochemically, the labeling rate for each of the antibodies studied in the epithlioid cells was as follows: 40% for Factor XIIIa, 5% for CD34, 20% for factor VIII‐related antigen, and 10% for α‐smooth muscle cell actin. This case may support the view that epithelioid cell histiocytoma is a vascular and angioformative fibrous histiocytoma.
doi_str_mv 10.1111/j.1346-8138.2005.tb00832.x
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subjects Biopsy, Needle
Child
damaged artery
Diagnosis, Differential
Epithelial Cells - pathology
epithelioid cell histiocytoma
Factor XIIIa
Female
fibrous histiocytoma
Follow-Up Studies
Granuloma - pathology
Granuloma - surgery
Histiocytoma, Benign Fibrous - pathology
Histiocytoma, Benign Fibrous - surgery
Humans
Immunohistochemistry
Knee
Soft Tissue Neoplasms - pathology
Soft Tissue Neoplasms - surgery
vascular injury
title Epithelioid Cell Histiocytoma with Underlying Artery Damage
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