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Tufted Angioma
Acquired Tufted Angioma at Scanning MagnificationScanning magnification of acquired tufted angioma (ATA) shows scattered lobular collections of vessels in the superficial and deep dermis. The lobules bulge into dilated vessels, with a few peripheral semilunar spaces identified.
Acquired Tufted Angioma: Lobular Cluster of VesselsHigher magnification of ATA shows a lobular cluster of blood vessels lined by small, oval to spindle-shaped cells. Lumina are collapsed and slit-like .
Acquired Tufted Angioma at High MagnificationHigh-power view shows bland cytologic features of the tufted angioma endothelial cells. Some of the cells show mild nuclear hyperchromasia , but no significant cytologic atypia is identified.
Acquired Tufted Angioma at Low MagnificationScanning magnification of another ATA shows scattered dermal lobular collections of vessels. The lobules bulge into dilated vessels, with a few peripheral semilunar spaces identified .
TERMINOLOGY
Synonyms
• Acquired tufted angioma (ATA)
• Tufted hemangioma
• Angioblastoma (of Nakagawa)
• Progressive capillary hemangioma
Definitions
• Multiple cannonball-like, scattered cellular collections of small vessels in dermis
ETIOLOGY/PATHOGENESIS
Unknown
• Most cases sporadic; rare familial case described
• Some cases associated with pregnancy or liver transplantation
CLINICAL ISSUES
Epidemiology
• Incidence
Rare tumors
• Age
Children and young adults
Site
• Neck, shoulders, and upper trunk most common
Presentation
• Slow growing
Erythematous macules and plaques
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