A Case of Arteriovenous Hemangioma Associated with Liver Cirrhosis

Satomi, Hisae; Imakado, Sumihisa; Ichikawa, Eiko; Fujisawa, Hiroshi; Otsuka, Fujio

doi:10.1159/000018267

Cited by 7 publications

(9 citation statements)

References 4 publications

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“…Although oestrogens may be involved in the pathogenesis of AVH associated with chronic liver diseases, 3,4 we found that the tumour biopsy in our patient was negative for oestrogen receptor. Receptor immunoreactivity may have been affected by DNase digestion, which may be dependent on tissue type and the duration of fixation.…”

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confidence: 42%

“…The pathogenesis of AVH is unknown, but it may represent multicentric hamartomatous proliferation of the suprapapillary vascular plexus. Recently, several cases of AVH associated with chronic liver diseases have been described 2–4 . We report here a case of AVH in a 57‐year‐old man with liver cirrhosis and hepatocellular carcinoma associated with chronic hepatitis B. Immunohistochemical analysis showed that the endothelial cells in the tumour were negative for oestrogen receptor.…”

mentioning

confidence: 76%

“…Recently, several cases of AVH associated with chronic liver diseases have been reported 2–4 . Other vascular tumours, including spider angiomas and unilateral nevoid telangiectasias, have been reported as being associated with chronic liver diseases 8–10 .…”

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confidence: 99%

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Arteriovenous haemangioma in chronic liver diseases: case report and determination of oestrogen receptor status

Lee¹,

et al. 2006

Acad Dermatol Venereol

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EditorArteriovenous haemangioma (AVH) is a rare, benign, acquired vascular lesion, usually presenting as a solitary bluish asymptomatic papule on the head or extremities. 1 The pathogenesis of AVH is unknown, but it may represent multicentric hamartomatous proliferation of the suprapapillary vascular plexus. Recently, several cases of AVH associated with chronic liver diseases have been described. [2][3][4] We report here a case of AVH in a 57-year-old man with liver cirrhosis and hepatocellular carcinoma associated with chronic hepatitis B. Immunohistochemical analysis showed that the endothelial cells in the tumour were negative for oestrogen receptor. To our knowledge, this is the first report describing oestrogen receptor status of AVH in a patient with chronic liver disease.A 57-year-old Korean man presented at the dermatology unit with a solitary, asymptomatic, progressively enlarging, violaceous nodule of 3 years' duration on his left anterior chest. Eight years previously, he had been diagnosed with chronic active hepatitis associated with hepatitis B virus infection. Six months previously, liver cirrhosis and hepatocellular carcinoma were detected by abdominal ultrasound and computed tomography and treated three times by transhepatic arterial chemoembolization. Laboratory findings, including liver function and coagulation tests, were typical of patients with liver cirrhosis.Physical examination showed a solitary, well-demarcated, round, violaceous nodule 7 mm in diameter on the left anterior chest ( fig. 1). Around the nodule were erythematous patches with radiating fine telangiectasias. Histopathological

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confidence: 76%

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Arteriovenous haemangioma in chronic liver diseases: case report and determination of oestrogen receptor status

Lee¹,

et al. 2006

Acad Dermatol Venereol

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“…Spider naevus, another cutaneous vascular lesion associated with chronic liver disease, is thought to represent overgrowth of a terminal artery. Both spider naevus and AVH associated with chronic liver disease showed predilection for the facial skin 3,8 . Clinically and histologically, AVH may be confused with spider naevus, which is occasionally papular and shows a central ascending artery with fine arterial branches that divide into capillaries 9 .…”

Section: Discussionmentioning

confidence: 99%

“…Both spider naevus and AVH associated with chronic liver disease showed predilection for the facial skin. 3,8 Clinically and histologically, AVH may be confused with spider naevus, which is occasionally papular and shows a central ascending artery with fine arterial branches that divide into capillaries. 9 Histopathologically, dilated blood vessels in the mid-and superficial dermis are seen both in AVH and spider naevus, although in spider naevi these represent dilatation of pre-existing vessels, 10,11 whereas in AVH they are caused by proliferation of thick-and thin-walled blood vessels.…”

Section: Discussionmentioning

confidence: 99%

Arteriovenous haemangioma in chronic liver disease: clinical and histopathological features of four cases

Aoki

Inamoto

2001

British Journal of Dermatology

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Chronic liver diseases are known to cause several skin manifestations, including cutaneous vascular changes such as spider naevus and palmar erythema. Arteriovenous haemangioma (AVH), a benign acquired cutaneous vascular lesion, has also been reported to be associated with chronic liver disease. We report here four cases of AVH in patients with chronic liver disease: (i) a 59-year-old man who had suffered from chronic active hepatitis associated with hepatitis C virus for 15 years; (ii) a 48-year-old man who had suffered from alcoholic hepatitis for 3 years and was diagnosed with liver cirrhosis 1 year ago; (iii) a 69-year-old female who had had chronic active hepatitis associated with hepatitis C virus infection for 20 years and was diagnosed with liver cirrhosis 7 years ago; and (iv) a 48-year-old man who had had chronic active hepatitis associated with hepatitis B virus infection for about 20 years. All patients showed an asymptomatic solitary dome-shaped reddish papule, 5-10 mm in diameter, on the face (first, second and third patients) or chest (fourth patient). Histopathological examination of the tumours revealed features of AVH, namely a well-circumscribed lesion composed of vascular structures of various sizes reminiscent of arteries and veins. In all four cases, elastic-van Gieson stain showed the absence of an internal elastic lamina in the thick-walled vessels as well as the thin-walled vessels. Examination of multiple sections demonstrated glomus cells and an ascending artery feeding the tumour vessels in only one case. Slight inflammatory cell infiltration was seen in the stroma of three patients while Toluidine blue staining revealed an increased number of mast cells in the stroma in all lesions. The present cases suggest that the occurrence of AVH associated with chronic liver disease is not related to any specific liver disease, but may be related to chronic liver dysfunction itself.

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Intercostal hemangioma

Kubo

Moriyama

Nogami

et al. 2004

Jpn J Thorac Cardiovasc Surg

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This paper presents a case of intercostal hemangioma, in which a complete surgical resection was accomplished based upon a tentative diagnosis provided by magnetic resonance imaging (MRI). A 27-year-old man visited our hospital for the evaluation of chest pain and shortness of breath after exertion. Computed tomography showed a soft tissue mass, 5.5 x 3.5 cm in size, arising from the right lateral 7th intercostal space. Dynamic MRI showed that the mass was enhanced rapidly in the early phase and that this early enhancement was maintained during the delayed phase, which was compatible with a diagnosis of intercostal hemangioma. The patient underwent surgery, and a complete resection of the tumor with the right 7th and 8th ribs and their intercostal muscles was accomplished. Histopathological examination confirmed the diagnosis of intramuscular hemangioma of the large-vessel type. Presently, 6 months after the operation, the patient is doing well, without any evidence of local recurrence.

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A Case of Arteriovenous Hemangioma Associated with Liver Cirrhosis

Cited by 7 publications

References 4 publications

Arteriovenous haemangioma in chronic liver diseases: case report and determination of oestrogen receptor status

Arteriovenous haemangioma in chronic liver diseases: case report and determination of oestrogen receptor status

Arteriovenous haemangioma in chronic liver disease: clinical and histopathological features of four cases

Intercostal hemangioma

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