Capillary malformation of port-wine stain: Differentiation from early arteriovenous malformation by histopathological clues

Seok Jong Lee, Ho Youn Kim, Byung Soo Kim, Do Won Kim, Ho Yun Chung, Jong Min Lee, Seung Huh, Han Ik Bae

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Background:: Cutaneous arteriovenous malformations (AVMs) of stage I may mimic port-wine stains (PWSs) clinicopathologically; therefore, it may be misdiagnosed and mistreated as being PWS. Objective:: To suggest the clinicopathological differential clues between early AVMs and PWSs. METHODS:: A set of 10 radiologically proven AVMs of stage I was selected in conjunction with a set of 10 age-/sex-matched PWSs as a control. Their clinical features, hematoxylin and eosin, CD31, and smooth muscle actin immunohistochemistry were then compared. Results:: Four pathological clues for differential diagnosis with statistical significance (P < 0.05) were found: the vessel density (CD31), presence of vascular luminal red blood cells, elongation and haphazard branching of vessels, and thickened vessel walls highlighted by smooth muscle actin. CONCLUSION:: Therefore, 4 differential clues with respect to stage I AVM and PWS in their earlier developmental stages have been proposed.

Original languageEnglish
Pages (from-to)523-528
Number of pages6
JournalAmerican Journal of Dermatopathology
Volume34
Issue number5
DOIs
StatePublished - Jul 2012

Keywords

  • arteriovenous malformation
  • differential diagnosis
  • histopathology
  • portwine stain

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