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Case History:

A young adult patient with a history of HIV presents with epigastric pain. On upper GI endoscopic exam, there are multiple erythematous mucosal nodules seen throughout the duodenum. A biopsy of a nodule was taken. H&E, ERG, and HHV-8 stains are shown.

COTW Image 1  COTW Image 2 

COTW Image 3  COTW Image 4

     

 Which of the following is most likely linked to this tumor?

A. Spindle cell hemangioma

B. Kaposi Sarcoma

C. Pseudomyogenic hemangioendothelioma

D. Angiosarcoma

 

 

Correct Answer: B. Kaposi Sarcoma

 
 

 

 

Case contributed by: 
Oyedele Adeyi, M.D., FRCPC, C. Bruce Alexander Endowed Professor, Anatomic Pathology, Division Director, Anatomic Pathology, Gastrointestinal Section Head