Table 1: Literature review of documented giant cell angiofibromas in the head and neck with pathologic description.
Authors | Head and Neck Site | No. Cases | Age Range | Gender Distribution | Histopathologic Features | Immunohistochemical Staining |
Arifin, et al. [2] | Scalp | 1 | 39 | Female | Oval and round- to spindle-shaped cells intermixed with floret-like giant with hypocellular areas. Giant cells lined the pseudovascular space. Presence of bony erosion. |
Positive: CD34 and Vimentin Negative: not mentioned |
Shu, et al. [3] | Vocal cord | 2 | 40-45 | All Male | Patternless spindle cells with rich blood vessels and vascularity, with presence of multinucleated cells lining pseudovascular spaces. Positive training: CD34, Vimentin, CD99. Negative staining. |
Positive: CD34, vimentin, CD99 Negative: MSA, desmin, s100, aAT, aACT, CDC9, cytokeratin |
Gonzalez-Perez, et al. [4] | Paraphyaryngeal Space | 1 | 29 | Female | Fibrous pseudocapsule of spindle cells, round to oval bland nuclei and pseudoinclusions. Numerous floret like multinucleated giant cells, angioectoid pseudovascular spaces. |
Positive: CD34, BCL2, CD99 Negative: smooth muscle actin, CKAE1/AE3, CK1/5/10/14, s100, p63, CD31, EMA In-situ hybridization negative to SYT gene (18q11.2) to rule out synovial sarcoma |
Rousseau, et al. [5] | Buccal Mucosa | 1 | 61 | Male | Presence of torturous, pseudovascular spaces, filled with floret type multinucleate cells with large hyperchromatic nuclei. |
Positive: Vimentin, CD34 Negative: CD68, CD31, Factor VIII, Ulex europaeus lectin |
De Andrade, et al. [9] | Buccal Mucosa | 1 | 44 | Male | Elongated, spindled, and wavy cells, intermingled with variable amounts of blood vessels, pseudovascular spaces, and scarce multinucleated giant cells. |
Positive: Vimentin, CD34, bcl-2 (weakly) Negative: cytokeratin, smooth muscle actin, s100, desmin, CD68, CD34 |
Kintarak, et al. [8] | Buccal Mucosa | 1 | 46 | Female | Nonencapsulated, well circumscribed, with small spindle shaped proliferating cells. Scattered multinucleated giant cells with peripherally arranged nuclei in floret like pattern, lining pseudovascular spaces. |
Positive: CD34, factor XIIIa Negative: smooth muscle actin, desmin, s100 |
Mikami, et al. [6] | Submandibular Region | 1 | 48 | Female | Pseudovascular spaces lined by a discontinuous row of multinucleated cells were seen against a background of spindle-shaped fibroblastic cell proliferation. |
Positive: CD34, Vimentin Negative: Factor VIII, desmin, smooth muscle actin, myoglobin, s100, leuM1, lysozyme, alpha-1-antitrypsin, cytokeratin |