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HASEGAWA T, ARAKAWA Y, MINAMIGUCHI S, MINEHARU Y, NAKAJIMA S, NAKAJIMA K, HIROSE T, HAGA H, MIYAMOTO S. Cerebral Tufted Angioma with Gradually Developing Peritumoral Edema: A Case Report. NMC Case Rep J 2022; 9:187-192. [PMID: 35855280 PMCID: PMC9256015 DOI: 10.2176/jns-nmc.2022-0079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Accepted: 04/12/2022] [Indexed: 11/20/2022] Open
Abstract
Tufted angioma is a benign vascular tumor in which immature endothelial and pericyte cells and lymphatic vascular endothelium grow. It manifests as a flat, painful erythema that gradually expands mainly on the trunk and extremities. Although tufted angiomas can also occur in other areas of the body and may be more locally invasive, they rarely occur intracranially. A 63-year-old man underwent magnetic resonance imaging (MRI) for a brain check-up 8 years before his visit to our institute, which detected a mass lesion with surrounding cerebral edema in the left frontal lobe. The patient was followed up with annual MRI analysis, which indicated slow tumor growth and gradual development of peritumoral edema. The tumor was treated by gross-total resection. Histological analysis showed a slightly dilated microvascular core surrounded by many capillary aggregates in the brain parenchyma. Immunohistochemical findings indicated that the vascular endothelial cells were positive for CD34 and Brahma-related gene-1 and were surrounded by smooth muscle actin-positive pericytes. These findings were consistent with tufted angioma. Intracranial tufted angioma is uncommon, but it should be considered in the differential diagnosis for intracranial tumorous lesions. Long-term follow-up is necessary to unravel the natural history of the disease.
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Affiliation(s)
- Takashi HASEGAWA
- Department of Neurosurgery, Kyoto University Graduate School of Medicine
| | - Yoshiki ARAKAWA
- Department of Neurosurgery, Kyoto University Graduate School of Medicine
| | - Sachiko MINAMIGUCHI
- Department of Diagnostic Pathology, Kyoto University Graduate School of Medicine
| | - Yohei MINEHARU
- Department of Neurosurgery, Kyoto University Graduate School of Medicine
| | - Satoshi NAKAJIMA
- Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University Graduate School of Medicine
| | - Kohei NAKAJIMA
- Department of Neurosurgery, Kyoto University Graduate School of Medicine
| | | | - Hironori HAGA
- Department of Diagnostic Pathology, Kyoto University Graduate School of Medicine
| | - Susumu MIYAMOTO
- Department of Neurosurgery, Kyoto University Graduate School of Medicine
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Fabbri N, Quarantotto F, Caruso A, Montinari E, Rubino S, Tamburini N, Maniscalco P, Cavallesco G. Surgical excision of a tufted angioma of the hand in an adult-a rare case report with a review of literature. AME Case Rep 2019; 3:7. [PMID: 31020274 DOI: 10.21037/acr.2019.02.02] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2018] [Accepted: 12/07/2018] [Indexed: 11/06/2022]
Abstract
Tufted Angiomas, also known as angioblastomas/Angioblastoma of Nagakawa, are rare vascular neoplasms of both sexes localised to the skin and subcutaneous tissues with the upper trunk and neck being the most common sites. They are more common in children but a few cases in juveniles and adults have been reported. Typically, Tufted Angioma remains stable or can show rarely a spontaneous regression. This article wants to evaluate the efficacy of current treatment modalities for tufted angioma (TA). A review was performed using PubMed database (Medline) for clinical studies. We report our case, a 29-year-old female who presented with a second finger of the left hand, painful, slowly progressive, firm swelling diagnosed as Tufted Angioma on histopathology and immunohistochemistry after complete surgical excision.
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Affiliation(s)
- Nicolò Fabbri
- Department of General and Thoracic Surgery, General and Thoracic Surgery Unit, S. Anna Hospital, University of Ferrara, Ferrara, Italy
| | - Francesco Quarantotto
- Department of General and Thoracic Surgery, General and Thoracic Surgery Unit, S. Anna Hospital, University of Ferrara, Ferrara, Italy
| | - Annalisa Caruso
- Department of General and Thoracic Surgery, General and Thoracic Surgery Unit, S. Anna Hospital, University of Ferrara, Ferrara, Italy
| | - Elena Montinari
- Department of Experimental and Diagnostic Medicine, Section of Pathology, University of Ferrara, Ferrara, Italy
| | - Serena Rubino
- Department of General and Thoracic Surgery, General and Thoracic Surgery Unit, S. Anna Hospital, University of Ferrara, Ferrara, Italy
| | - Nicola Tamburini
- Department of General and Thoracic Surgery, General and Thoracic Surgery Unit, S. Anna Hospital, University of Ferrara, Ferrara, Italy
| | - Pio Maniscalco
- Department of General and Thoracic Surgery, General and Thoracic Surgery Unit, S. Anna Hospital, University of Ferrara, Ferrara, Italy
| | - Giorgio Cavallesco
- Department of General and Thoracic Surgery, General and Thoracic Surgery Unit, S. Anna Hospital, University of Ferrara, Ferrara, Italy
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