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Acquired Progressive Lymphangioma as a Flat Erythematous Patch on the Abdominal Wall of a Child

Acquired Progressive Lymphangioma as a Flat Erythematous Patch on the Abdominal Wall of a Child Abstract • An erythematous patch was noted on the abdominal wall of an 8-year-old boy. The lesion showed a prolonged initial clinical course, followed by rapid later growth, finally reaching 3.7 × 7.0 cm in size over four years. Despite the harmless clinical appearance, the lesion was histologically characterized by tortuous vascular channels with some cellular atypia. Immunoperoxidase staining disclosed no factor VIII-related antigen or reaction to Ulex europaeus I lectin on tumor cells. There has been no recurrence three years after local excision. Although many features in our case resemble those reported in the literature under the term low-grade angiosarcoma, our preferred designation for such cases is acquired progressive lymphangioma, rather than angiosarcoma, because of their benign behavior. (Arch Dermatol 1988;124:699-701) References 1. Jones EW: Malignant angioendothelioma of the skin . Br J Dermatol 1964;76:21-39.Crossref 2. Girard C, Johonson WC, Graham JH: Cutaneous angiosarcoma . Cancer 1970;26:868-883.Crossref 3. Kauffman SL, Stout AP: Malignant hemangioendothelioma in infants and children . Cancer 1961;14:1186-1196.Crossref 4. Miyachi Y, Imamura S: Very low-grade angiosarcoma . Dermatologica 1981;162:206-208.Crossref 5. Gold SC: Angioendothelioma (lymphatic type) . Br J Dermatol 1970;82:92-93.Crossref 6. Wilson Jones E: Malignant vascular tumours . Clin Exp Dermatol 1976;1:287-312.Crossref 7. Watanabe M, Kishiyama K, Ohkawara A: Acquired progressive lymphangioma . J Am Acad Dermatol 1983;8:663-667.Crossref 8. Taxy JB, Gray SR: Cellular angiomas of infancy: An ultrastructural study of two cases . Cancer 1979;43:2322-2331.Crossref 9. Kiryu H: Hemangiosarcoma of the skin: A clinicopathological study of 14 cases . Nippon Hifuka Gakkai Zasshi 1985;95:117-134. 10. Ikegawa S, Nakajima T, Ishihara K, et al: Six cases of angiosarcoma of the scalp . Nippon Hifuka Gakkai Zasshi 1985;95:437-445. 11. Honda M, Murakami K, Niimura M, et al: Factor VIII-related antigen in tumors of vessels . Nippon Hifuka Gakkai Zasshi 1983;93:273-278. 12. Burgdorf WH, Mukai K, Rosai J: Immunohistochemical identification of factor VIII-related antigen in endothelial cells of cutaneous lesion of alleged vascular nature . Am J Clin Pathol 1981;75:167-171. 13. Burton JL, Rook A: The ages of man and their dermatoses , in Rook A, Wilkinson DS, Ebling FJG, et al (eds): Textbook of Dermatology . Boston, Blackwell Scientific Publications Inc, 1986, pp 265-283. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Acquired Progressive Lymphangioma as a Flat Erythematous Patch on the Abdominal Wall of a Child

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Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1988.01670050043017
Publisher site
See Article on Publisher Site

Abstract

Abstract • An erythematous patch was noted on the abdominal wall of an 8-year-old boy. The lesion showed a prolonged initial clinical course, followed by rapid later growth, finally reaching 3.7 × 7.0 cm in size over four years. Despite the harmless clinical appearance, the lesion was histologically characterized by tortuous vascular channels with some cellular atypia. Immunoperoxidase staining disclosed no factor VIII-related antigen or reaction to Ulex europaeus I lectin on tumor cells. There has been no recurrence three years after local excision. Although many features in our case resemble those reported in the literature under the term low-grade angiosarcoma, our preferred designation for such cases is acquired progressive lymphangioma, rather than angiosarcoma, because of their benign behavior. (Arch Dermatol 1988;124:699-701) References 1. Jones EW: Malignant angioendothelioma of the skin . Br J Dermatol 1964;76:21-39.Crossref 2. Girard C, Johonson WC, Graham JH: Cutaneous angiosarcoma . Cancer 1970;26:868-883.Crossref 3. Kauffman SL, Stout AP: Malignant hemangioendothelioma in infants and children . Cancer 1961;14:1186-1196.Crossref 4. Miyachi Y, Imamura S: Very low-grade angiosarcoma . Dermatologica 1981;162:206-208.Crossref 5. Gold SC: Angioendothelioma (lymphatic type) . Br J Dermatol 1970;82:92-93.Crossref 6. Wilson Jones E: Malignant vascular tumours . Clin Exp Dermatol 1976;1:287-312.Crossref 7. Watanabe M, Kishiyama K, Ohkawara A: Acquired progressive lymphangioma . J Am Acad Dermatol 1983;8:663-667.Crossref 8. Taxy JB, Gray SR: Cellular angiomas of infancy: An ultrastructural study of two cases . Cancer 1979;43:2322-2331.Crossref 9. Kiryu H: Hemangiosarcoma of the skin: A clinicopathological study of 14 cases . Nippon Hifuka Gakkai Zasshi 1985;95:117-134. 10. Ikegawa S, Nakajima T, Ishihara K, et al: Six cases of angiosarcoma of the scalp . Nippon Hifuka Gakkai Zasshi 1985;95:437-445. 11. Honda M, Murakami K, Niimura M, et al: Factor VIII-related antigen in tumors of vessels . Nippon Hifuka Gakkai Zasshi 1983;93:273-278. 12. Burgdorf WH, Mukai K, Rosai J: Immunohistochemical identification of factor VIII-related antigen in endothelial cells of cutaneous lesion of alleged vascular nature . Am J Clin Pathol 1981;75:167-171. 13. Burton JL, Rook A: The ages of man and their dermatoses , in Rook A, Wilkinson DS, Ebling FJG, et al (eds): Textbook of Dermatology . Boston, Blackwell Scientific Publications Inc, 1986, pp 265-283.

Journal

Archives of DermatologyAmerican Medical Association

Published: May 1, 1988

References