Pathology
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Atlas of dermatopathology
Josef Feit, Hana Jedličková, Günter Burg, Luděk Matyska, Spasoje Radovanovic et al.
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+ Introduction
+ Literature
+ Support
+ Skin biopsy
+ Non-tumorous skin diseases
+ Skin tumors
+ Cysts of the skin and subcutis
+ Soft tissue lesions
+ Some lesions of the oral cavity
+ Dermatovenerology
+ Collection of histological slides by prof. Günter Burg
+ Collection of histological slides by prof. Werner Kempf
+ Collection of histological slides of dr. Ram Chandra Adhikari
Epithelioid hemangioendothelioma
Clinical signs
  • age: variable
  • affects superficial and deep soft tissue as well as internal organs
  • low grade malignant tumor, prognosis variable (recurrences, metastases)
Histology

Tumor with unsharp borders, sometimes of angiocentric growth or association with large blood vessel. Skin infiltration is usually secondary. The cells are epithelioid, with pink, broad cytoplasm, often with vacuoles. High mitotic activity (over 2/10 HPF) and cytologic atypia are signs of more aggressive behaviour. Roundish or (short) spindle cells form nest and short fascicles, with infiltrative growth. Stroma is usually hyalinized or of chondroid appearance. Vascular markers (CD31, CD34, f. VIII.) are positive.