Premium
Relax, its only a Blap!
Author(s) -
Wagamon K.,
Jaworsky C.
Publication year - 2005
Publication title -
journal of cutaneous pathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 75
eISSN - 1600-0560
pISSN - 0303-6987
DOI - 10.1111/j.0303-6987.2005.0319k.x
Subject(s) - lumpectomy , pathology , medicine , eosinophilic , dermis , reticular dermis , stroma , biopsy , breast cancer , lumen (anatomy) , papillary dermis , dermatology , mastectomy , cancer , immunohistochemistry , surgery
A 67 year old female with past history of breast cancer treated with lumpectomy and post surgical radiation presented for evaluation of new papules over the breast. She was sent by her oncologist to rule out breast cancer metastases to the skin. Punch biopsy of one of the papules showed dilated vascular spaces located in the papillary dermis lined with plump endothelial cells with hyperchromatic nuclei and a hobnail like appearance. The lumen of the vascular spaces was filled with pink amorphous eosinophilic material and mitoses were not present. The stroma contained a moderately dense lymphohistiocytic infiltrate with a variable number of plasma cells. Given these features a diagnosis of benign lymphangiomatous papules of the skin (BLAP) was made. BLAPs are well reported in both the general pathology and surgical literature but have yet to be publicized in the dermatopathological literature. It is important that dermatopathologists be aware of and able to differentiate this condition from other vascular lesions, most notably well differentiated angiosarcomas.