Case Number : Case 1738 - 25 January - Dr Hafeez Diwan Posted By: Guest

Here is your regular mid-week treat from Dr Hafeez Diwan, enjoy.

Geoff Cross - DermpathPRO Projects

When I see something looking like an aggressive perineal angiomyxoma but well circumscribed, sharing some morphological features with SCL but without any roping collagen, and also with SFT but lacking convincing appropriate findings...I start thinking of CELLULAR ANGIOFIBROMA. Here an other case in dermpathPro:

Case Number : Case 1605 - 19 August

Cellular angiofibroma. 

Cellular angiofibroma

Thick and thin walled vessels +/- hyalinisation

Mast cells

short fascicles, well demarcated in few pictures.

A well-damarcated lesion comprising numerous blood vessels with surrounding bland spindle cells proliferation. Few of the vessel walls appear hyalinised.

Is this ER positive?

My diagnosis is cellular angiofibroma

Agree, cellular angiofibroma.

My impression was also cellular angiofibroma

I favored aggressive angiomyxoma, even though it is a male, and these are more common in females.

Cellular angiofibroma