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

13 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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