Multifocal Kaposiform Hemangioendothelioma in a Newborn With Confirmatory Histopathology.

Cohen, Olivia Grace; Florez-Pollack, Stephanie; Finn, Laura S; Larijani, Mary; Jen, Melinda; Treat, James; Adams, Denise M; Acord, Michael R · Pediatrics · 2022

case_report · Level V

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Abstract

Kaposiform hemangioendothelioma is classified as a locally aggressive vascular tumor of childhood resulting from abnormal angiogenesis and lymphangiogenesis. Most commonly, KHE presents as a single tissue mass, ranging from an erythematous papule to a violaceous indurated tumor. Definitive diagnosis requires tissue sampling with the demonstration of ill-defined nodules and fascicles of spindle-shaped D2-40 positive endothelial cells, forming slit-like vascular channels. This newborn presented with multifocal cutaneous Kaposiform hemangioendothelioma associated with Kasabach-Merritt phenomenon confirmed on histopathology with immunostaining.

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