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The American Society of Dermatopathology
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Interactive Case Study - September 2019
32-year-old woman with a red papule on the abdomen
Jina Chung, MD; Jisun Cha, MD
Question 1:
A 32-year-old woman presented with a six-week history of a dark red papule on her abdomen; it was asymptomatic and had not changed in size or color since its appearance. Clinical exam showed an 8 x 5 mm soft, well-circumscribed, non-blanchable, homogenous red papule on the right upper abdomen.
Click this image to view the virtual slide
Figure 1.
Figure 2.
Figure 3.
Figure 4.
Figure 5.
Figure 6. CD31
Figure 7. Smooth muscle actin
Figure 8. D2-40
Figure 9. HHV8
Which of the following is the best diagnosis?
A.
Angiolymphoid hyperplasia with eosinophilia
B.
Kaposi sarcoma
C.
Lobular capillary hemangioma
D.
Microvenular hemangioma
E.
Targetoid hemosiderotic (hobnail) hemangioma