Qap (Anatomical Pathology) 

QAP Peer Review

AP161
Case History: Female 65, with a non-healing ulcer of the tongue.
Intended diagnosis: Spindle cell hemangioma. Contributed by:FML
Code Diagnosis Comment Score
anonymous Spindle cell haemangioendothelioma (70%) Kaposi's sarcoma (30%) Advise immunostaining for HHV-8 LNA-1 which is highly sensitive and specific for Kaposi's sarcoma. Although the tumour morphology suggests spindle cell haemangioendothelioma, it is rare in oral cavity.  100
anonymous Spindle cell hemangioma (100%) nil  100
anonymous Tongue: Spindle cell hemangioma nil  100
anonymous Spindle cell hemangioma. 100% nil  100
anonymous Benign vascular neoplasm with cellular spindle cell area, not further classifiable (80%) Kaposi sarcoma (20%) confirm/exclude kaposi sarcoma by HHV-8 immunostaining.  100
anonymous SPINDLE CELL HEMANGIOMA(HEMANGIOENDOTHELIOMA). 100% nil  100
anonymous Spindle cell hemangioendothelioma.(100%) DDx includes Kaposi's sarcoma.  100
anonymous Tongue biopsy - spindle cell haemangioma 100% nil  100
anonymous Spindle cell haemangioendothelioma (spindle cell haemangioma), 70% Kaposi's sarcoma, 30% Immunohistochemical studies should differentiate spindle cell haemangioendothelioma from Kaposi's sarcoma, spindle cell haemangioendothelioma is HHV-8 negative, Kaposi's sarcoma is HHV-8 positive.  100
anonymous Spindle cell hemangioma nil  100
anonymous Capillary hemangioma and blue nevus nil  80
anonymous Spindle Cell Hemangioma (100%) This entity (previously named spindle cell hemangioendothelioma) is a benign vascular tumour that very rarely occurs in the tongue.  100
anonymous Benign haemangioma variant To exclude Kaposi's (HIV status)  100
anonymous spindle cell hemangioma 100% nil  100
anonymous Spindle cell hemangioendothelioma nil  100
anonymous Spindle cell haemangioma (Haemangioendothelioma). Probability: 100% nil  100
anonymous Spindle cell haemangioma 100% nil  100
anonymous spindle cell hemangioendothelioma nil  100