Histopathological reporting of paediatric cutaneous vascular anomalies in relation to proposed multidisciplinary classification system.

Abstract:

BACKGROUND:The terminology applied to vascular anomalies has been variable in previously published literature making interpretation suboptimal. The International Society for the Study of Vascular Anomalies (ISSVA) has proposed a revised classification based on clinical features and histopathological findings. This classification is increasingly being accepted as clinically useful and a platform for future studies. AIMS:To examine the extent to which the ISSVA classification can be practically applied to diagnostic histopathological specimens. METHODS:Cutaneous vascular lesions received in a single paediatric pathology unit during a 2-year period (2004-5) were reviewed, including glucose transporter protein 1 (GLUT1) immunostaining where required, and lesions were reclassified according to the ISSVA classification. RESULTS:144 specimens were identified. Appropriate full clinical information was provided in only 17% of cases at submission. Infantile haemangiomas comprised 46% of cases, 18% of which were regressive type, initially inaccurately identified as vascular malformations before GLUT1 immunostaining. 30% of lymphatic malformations and all lymphovenous malformations were previously classified as vascular malformations, not otherwise specified. CONCLUSIONS:The ISSVA classification of vascular anomalies provides a useful framework for histopathologists to classify vascular anomalies. However, meaningful and appropriate use of such a system is dependent on the adequacy of clinical information provided and routine use of immunohistochemical markers.

journal_name

J Clin Pathol

authors

Al-Adnani M,Williams S,Rampling D,Ashworth M,Malone M,Sebire NJ

doi

10.1136/jcp.2006.038240

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

1278-82

issue

12

eissn

0021-9746

issn

1472-4146

pii

jcp.2006.038240

journal_volume

59

pub_type

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