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Definition / general | Microscopic (histologic) description | Microscopic (histologic) images | Positive stains | Differential diagnosisCite this page: Hale CS. Microvenular hemangioma. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/skintumornonmelanocytichemangiomamicrovenular.html. Accessed September 22nd, 2023.
Definition / general
- Young to middle aged adults
- Also pregnant women or women on oral contraceptives
- Small, enlarging, purple red nodules or plaques of extremities
- Duration up to 4 years
Microscopic (histologic) description
- Transdermal proliferation of irregular branching venules with indistinct lumina, no atypia, no fat invasion (although may grow along collagenous septa of subcutis)
- Variable dermal fibrosis and lymphocytes
- Resembles acquired (tufted) angioma, stasis change, sclerosing hemangioma
Positive stains
- Endothelial cells are strongly Ulex europaeus lectin 1+, weakly positive for factor VIII related antigen
Differential diagnosis
- Dermatofibroma
- Kaposi's sarcoma: irregularly anastomosing vascular spaces, plasma cells, hyaline globules, fascicles of spindle cells