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May 1988

Acquired Progressive Lymphangioma as a Flat Erythematous Patch on the Abdominal Wall of a Child

Author Affiliations

From the Department of Dermatology, Tohoku University School of Medicine, Sendai, Japan (Drs Tadaki, Aiba, and Tagami), and the Masu Hifuka Clinic, Ishinomaki, Japan (Dr Masu).

Arch Dermatol. 1988;124(5):699-701. doi:10.1001/archderm.1988.01670050043017

• An erythematous patch was noted on the abdominal wall of an 8-year-old boy. The lesion showed a prolonged initial clinical course, followed by rapid later growth, finally reaching 3.7 × 7.0 cm in size over four years. Despite the harmless clinical appearance, the lesion was histologically characterized by tortuous vascular channels with some cellular atypia. Immunoperoxidase staining disclosed no factor VIII-related antigen or reaction to Ulex europaeus I lectin on tumor cells. There has been no recurrence three years after local excision. Although many features in our case resemble those reported in the literature under the term low-grade angiosarcoma, our preferred designation for such cases is acquired progressive lymphangioma, rather than angiosarcoma, because of their benign behavior.

(Arch Dermatol 1988;124:699-701)

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