Angiolymphoid hyperplasia involving large arteries

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Presentation transcript:

Angiolymphoid hyperplasia involving large arteries Frank Vandy, MD, Luis Izquierdo, MD, Jingxuan Liu, MD, Enrique Criado, MD Journal of Vascular Surgery Volume 47, Issue 5, Pages 1086-1089 (May 2008) DOI: 10.1016/j.jvs.2007.12.004 Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 1 MRA of the left upper extremity demonstrating a well circumscribed mass surrounding the brachial artery (arrow). There is brachial artery dilatation and luminal defects. Journal of Vascular Surgery 2008 47, 1086-1089DOI: (10.1016/j.jvs.2007.12.004) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 2 B-mode ultrasound of brachial artery. This longitudinal view demonstrates a dilated lumen with a surrounding mass giving the appearance of an aneurysm. Angiolymphoid hyperplasia with eosinophilia arising from brachial artery. Journal of Vascular Surgery 2008 47, 1086-1089DOI: (10.1016/j.jvs.2007.12.004) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 3 Microscopic images of specimen from angiolymphoid hyperplasia with eosinophilia arising from brachial artery. A, Low power (×100) power shows multiple proliferating small vessels in the wall of a larger vessel. B, High power (×400) shows small vascular spaces lined by epithelioid endothelial cells with abundant eosinophilic cytoplasm and round or ovoid vesicular nuclei. C, Intermediate power (×200) shows extensive lymphocytic and eosinophilic cell reaction with a lymphoid follicle. D, High power (×400) shows proliferating small vessels in a background of lymphocytes and eosinophils. Journal of Vascular Surgery 2008 47, 1086-1089DOI: (10.1016/j.jvs.2007.12.004) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions