Case Number : Case 1787 - 04 April - Dr Uma Sundram Posted By: Guest

Dr Uma Sundram has a case for you today which has got me wondering what the significance is of it being from Long Finger?!?

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Geoff Cross - DermpathPRO Projects

Spindle cell hemangioma. Even if we still have to perform HHV8 immunohistochemistry I dont think this is kaposi.

Sometime the matematica is useful in surgical pathology diagnosis, so:  Kaposi's Sarcoma-like features + Cavernous Hemangioma-like features = Spindle Cell Hemangioma! :-)

Glad noting Raul's impression is the same!

Agree with spindle cell hemangioma 

Nice case! Agree.The location is also typical.

Lovely case, spindle cell haemangioma.

Agree with my colleagues. A well-circumscribed acral vascular lesion comprising dilated cavernous blood channels alternating with kaposiform slit-like spaces immersed in a fascicular spindle cell stroma also makes me think of spindle cell hemangioma.

About Geoff's query, the typical site of this alleged non-neoplastic reactive vascular process is distal extremity, including the long finger, an anatomic region prone to alterations in blood flow, the most likely hypothesis concerning the pathogenesis of this entity.

Spindle cell hemangioma.

17 hours ago, Robledo F. Rocha said:

Agree with my colleagues. A well-circumscribed acral vascular lesion comprising dilated cavernous blood channels alternating with kaposiform slit-like spaces immersed in a fascicular spindle cell stroma also makes me think of spindle cell hemangioma.

About Geoff's query, the typical site of this alleged non-neoplastic reactive vascular process is distal extremity, including the long finger, an anatomic region prone to alterations in blood flow, the most likely hypothesis concerning the pathogenesis of this entity.

I knew I would learn something one day from you all  :-)