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==General== |
*Usually ''cerebellar''. |
**occassionally brainstem or spinal cord. Supratentorial tumors are exceptionally rare. |
*Typically in adults.<ref>{{Cite journal | last1 = Kassardjian | first1 = CD. | last2 = Macdonald | first2 = RL. | last3 = Munoz | first3 = DG. | title = Hemangioblastomas in the elderly: epidemiology and clinical characteristics. | journal = J Clin Neurosci | volume = 21 | issue = 7 | pages = 1205-8 | month = Jul | y... |
*Associated with [[von Hippel-Lindau syndrome]]. |
*Symptomatic when CSF flow is impaired. |
*WHO grade I (ICD-O: 9161/1).<ref>URL: [http://www.expertconsultbook.com/expertconsult/ob/book.do?method=display&type=bookPage&decorator=none&eid=4-u1.0-B978-1-4160-4580-9..00019-8--sc0155&isbn=978-1-4160-4580-9 http://www.expertconsultbook.com/expertconsult/ob/book.do?method=display&type=bookPage&decorator=none&eid=4-... |
==Macroscopy== |
*Red to yellow nodules, highly vascularized. |
*75% are cystic tumors. |
**Peripheral solid portion. |
==Microscopic== |
Features:<ref>URL: [http://emedicine.medscape.com/article/340994-media http://emedicine.medscape.com/article/340994-media]. Accessed on: 23 June 2010.</ref> |
*Vascular. |
*Polygonal stromal cells with: |
**Hyperchromatic nuclei. |
**Vacuolar cytoplasm. |
*Occassionally extensive sclerosis. |
Note: |
*Based on the stromal content, some classify the tumors as "cellular" and "reticular".<ref>{{Cite journal | last1 = Hasselblatt | first1 = M. | last2 = Jeibmann | first2 = A. | last3 = Gerss | first3 = J. | last4 = Behrens | first4 = C. | last5 = Rama | first5 = B. | last6 = Wassmann | first6 = H. | last7 = Paulus | f... |
DDx: |
*Metastatic [[clear cell renal cell carcinoma]]. |
===Images=== |
<gallery> |
Image:Cerebellar_hemangioblastoma_intermed_mag.jpg | Hemangioblastoma - intermed. mag. (WC) |
Image:Cerebellar_hemangioblastoma_high_mag.jpg | Hemangioblastoma - high mag. (WC) |
Image:Hemangioblastoma_-_nse_-_intermed_mag.jpg | Hemangioblastoma - NSE - intermed. mag. (WC) |
File:Hemangioblastoma - nse - high mag.jpg | Hemangioblastoma - NSE - high mag. (WC) |
File:Hemangioblastoma Histology CD31.jpg | Hemangioblastoma - CD31. (WC/marvin101) |
File:Hippel Lindau.gif | Hemangioblastomas in Hippel-Lindau disease (PlosONE). |
</gallery> |
www: |
*[http://path.upmc.edu/cases/case342.html Hemangioblastoma - several images (upmc.edu)]. |
==IHC== |
Features:<ref>URL: [http://www.nature.com/modpathol/journal/v18/n6/full/3800351a.html http://www.nature.com/modpathol/journal/v18/n6/full/3800351a.html]. Accessed on: 9 December 2010.</ref> |
*Alpha-inhibin +ve (cytoplasm). |
*EMA -ve. |
**RCC typically +ve. |
*NSE +ve (nucleus + cytoplasm). |
**RCC typically -ve. |
*CK -ve. |
==See also== |
*[[Von Hippel-Lindau disease]]. |
*[[Neuropathology tumours]]. |
*[[Hemangioblastoma of the kidney]]. |
==References== |
{{Reflist|2}} |
[[Category:Diagnosis]] |
[[Category:Neuropathology tumours]] |
8fba6dc1764a8271980eef58d64fc446d82ee4ef5a45c644fef1378d0a1cbf76 librepath-hemangioblastoma.txt |
{{ Infobox diagnosis |
| Name = {{PAGENAME}} |
| Image = Capillary_hemangioma_-_very_high_mag.jpg |
| Width = |
| Caption = Capillary hemangioma. [[H&E stain]]. |
| Micro = channels lined by benign endothelium containing [[RBC]]s |
| Subtypes = soft tissue (capillary, cavernous, arteriovenous, venous, intramuscular, synovial), childhood (tufted, microvenular hemangioma, glomeruloid hemangioma, epithelioid hemangioma (see [[angiolymphoid hyperplasia with eosinophilia]]), targetoid hemosideric hemangioma, infantile hemangioma) |
| LMDDx = [[lymphangioma]], [[angiokeratoma]], [[lobular capillary hemangioma]] (pyogenic granuloma). |
| Stains = |
| IHC = CD31 +ve, D2-40 -ve, GLUT-1 +ve -- juvenile hemangioma |
| EM = |
| Molecular = |
| IF = |
| Gross = |
| Grossing = |
| Site = [[soft tissue]], [[skin]], [[liver hemangioma|liver]] (dealt with in separate article), others |
| Assdx = [[Castleman disease]] - for glomeruloid hemangioma |
| Syndromes = [[POEMS syndrome]] - for glomeruloid hemangioma, [[Maffucci's syndrome]] |
| Clinicalhx = |
| Signs = |
| Symptoms = |
| Prevalence = common vascular lesion |
| Bloodwork = |
| Rads = |
| Endoscopy = |
| Prognosis = benign |
| Other = |
| ClinDDx = |
}} |
{{ Infobox external links |
| Name = Hemangioma |
| EHVSC = 10172 |
| pathprotocols = |
| wikipedia = |
| pathoutlines = |
}} |
'''Hemangioma''' is a very common benign [[vascular tumour]]. |
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