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Dermatology · Skin tumours: infantile haemangioma marker
Sample itemAn infant has a bright red raised lesion that appeared at 3 weeks and is growing. Which immunohistochemical marker distinguishes this tumour from vascular malformations?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. GLUT1
Infantile haemangioma endothelial cells express GLUT1, which is absent in other vascular tumours and malformations. The lesion proliferates in the first months of life, then involutes over years. CD34 is expressed by endothelium generally and does not discriminate.
Option by option
A. CD34
CD34 marks endothelium in many vascular lesions and does not discriminate.
B. GLUT1 (correct)
Correct. GLUT1 positivity is characteristic of infantile haemangioma.
C. S100
S100 marks melanocytic and neural lesions.
D. Factor XIIIa
Factor XIIIa marks dermal dendrocytes in lesions such as dermatofibroma.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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