{"title":"Syringomatous Tumor of the Nipple in an Adolescent Female: A Rare Cutaneous Adnexal Neoplasm With Distinct Histopathologic Features.","authors":"Shilong Zhang, Jian Wu","doi":"10.1111/cup.14865","DOIUrl":"https://doi.org/10.1111/cup.14865","url":null,"abstract":"<p><p>Syringomatous tumor of the nipple (SyT) is a rare benign tumor that arises in the nipple or areolar region. Due to its locally infiltrative growth pattern, it is often misdiagnosed as a malignant tumor. SyT primarily occurs in middle-aged women, with a reported mean age of onset of 46.1 years. Fewer than 100 cases have been documented in the literature to date, and occurrence in adolescents is exceedingly rare. This case report describes a rare instance of SyT in a 16-year-old asymptomatic female, who presented with progressive unilateral nipple enlargement over 5 years. Breast ultrasound and subsequent surgical excision were performed, and the final histopathological diagnosis confirmed SyT. This report highlights the imaging and pathological features of SyT and discusses main differential diagnoses, emphasizing the importance of accurate clinical recognition and appropriate management to avoid overtreatment. It provides valuable insights to aid in the diagnosis and clinical decision-making for this rare entity.</p>","PeriodicalId":15407,"journal":{"name":"Journal of Cutaneous Pathology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R Rox Anderson, J Stuart Nelson, Thanh Nga Tran, Wenbin Tan
{"title":"Flashes of Light: From the Lab and Dermatopathology, to the World With Marty Mihm.","authors":"R Rox Anderson, J Stuart Nelson, Thanh Nga Tran, Wenbin Tan","doi":"10.1111/cup.70000","DOIUrl":"https://doi.org/10.1111/cup.70000","url":null,"abstract":"<p><p>Martin C. (Marty) Mihm made multiple, pivotal contributions over four decades of discovery, innovation, and development leading to the world-wide application of lasers in dermatology. This started with trying to understand how pulses of light could be tailored to affect microscopic \"target\" structures in skin where the light is absorbed. There were many surprises, often first observed by light or electron microscopy. A host of new capabilities ensued, including laser treatments for microvascular and vascular malformations, non-melanoma pigmented lesions, tattoo and hair removal, rehabilitation of scars, improvement of photoaged skin, and lipid-targeting lasers for reduction of fat and acne. Dr. Mihm extended himself directly to patients, especially children with vascular anomalies. He contributed to the discovery that GLUT1, a glucose transporter expressed on vascular endothelium, is a defining diagnostic for infantile hemangiomas. He established a multispecialty vascular-anomalies clinic at the Massachusetts General Hospital, and co-founded the Vietnam Vascular Anomalies Center (VVAC) in Ho Chi Minh City. In Vietnam, topical radioactive phosphorus (<sup>32</sup>P) is applied as a misguided treatment for infantile hemangiomas, leading to radiation damage in uncounted thousands of children. By teaching the use of beta-adrenergic drug treatment, the use of <sup>32</sup>P has been greatly reduced. Dr. Mihm pioneered the concept of pulsed dye laser (PDL) in combination with angiogenic inhibitors to improve the clinical efficacy of port wine stain (PWS) treatment. Moreover, he made seminal contributions to our understanding of the pathogenesis and spectrum of phenotypes of PWS lesions. The legacy of Martin C. Mihm extends to the entire world.</p>","PeriodicalId":15407,"journal":{"name":"Journal of Cutaneous Pathology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145191683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Md Darun Nayeem, Md Anikur Rahman, Md Shakil Hossain, Mejdl Safran, Sultan Alfarhood, M F Mridha
{"title":"Multi-Scale Attention Fusion With Depthwise Separable Convolutions for Efficient Skin Cancer Detection.","authors":"Md Darun Nayeem, Md Anikur Rahman, Md Shakil Hossain, Mejdl Safran, Sultan Alfarhood, M F Mridha","doi":"10.1111/cup.14870","DOIUrl":"https://doi.org/10.1111/cup.14870","url":null,"abstract":"<p><p>Skin cancer is a major global health concern, where early and accurate detection is crucial for improving patient outcomes. Traditional diagnostic methods, such as manual visual inspection and conventional machine learning models, often suffer from subjectivity, high computational costs, and limited annotated data. Althoug deep learning has improved automated skin cancer detection, existing models face challenges like overfitting, insufficient generalization, and complex architectures that limit real-time clinical application. To address these limitations, we propose MAF-DermNet, a deep learning framework that integrates Multi-Scale Attention Fusion (MAF) with depthwise separable convolutions for efficient and accurate skin cancer detection. Our approach enhances data diversity using DCGAN-based synthetic augmentation to improve model robustness. By leveraging multi-resolution inputs and a residual attention block, MAF-DermNet effectively captures subtle lesion features while preserving critical low-level information. Extensive experiments demonstrate exceptional performance, with accuracy exceeding 99.9% and macro F1 scores above 99.5%. In addition to its superior classification capabilities, MAF-DermNet offers enhanced interpretability and computational efficiency, making it well-suited for clinical deployment. Future work will focus on integrating clinical metadata and optimizing the model for diverse healthcare settings to further improve early diagnosis and treatment outcomes.</p>","PeriodicalId":15407,"journal":{"name":"Journal of Cutaneous Pathology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Overlapping Clinicopathological Presentations of Pityriasis Lichenoides and Mycosis Fungoides.","authors":"Olivia Pierog, Mariah Estill, Jaroslaw Jedrych, Sima Rozati, Rachel Marchalik","doi":"10.1111/cup.14856","DOIUrl":"https://doi.org/10.1111/cup.14856","url":null,"abstract":"<p><p>Pityriasis lichenoides (PL) has traditionally been considered a benign cutaneous disorder with a diverse clinical presentation. This comprehensive literature review challenges that notion by exploring its histopathologic, immunopathologic, and molecular overlap with mycosis fungoides (MF). Through examination of lymphocyte populations, T-lymphocyte clonality, and aberrant immunohistochemical phenotypes, our findings indicate that a subset of PL cases, particularly those exhibiting a loss of pan-T-cell markers (CD2, CD5, CD7), or T-cell clonality, may have a closer association with MF. These findings highlight the need for heightened clinical awareness and surveillance in select PL cases, as early identification of MF may improve patient outcomes.</p>","PeriodicalId":15407,"journal":{"name":"Journal of Cutaneous Pathology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Chronological Changes in CD8<sup>+</sup> T Cells and Granzyme B in Ulcerative Lesions During Mogamulizumab Therapy for Mycosis Fungoides.","authors":"Ryoko Kimura, Kazunari Sugita, Yuichi Yoshida","doi":"10.1111/cup.14860","DOIUrl":"https://doi.org/10.1111/cup.14860","url":null,"abstract":"","PeriodicalId":15407,"journal":{"name":"Journal of Cutaneous Pathology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dre Barnachea, Maki Yamamoto, Rupali Banker, Dong Ren, Bonnie Lee
{"title":"Novel Histopathologic Features of Extramammary Paget's Disease in Metastatic Primary Cutaneous Apocrine Carcinoma to the Esophagus.","authors":"Dre Barnachea, Maki Yamamoto, Rupali Banker, Dong Ren, Bonnie Lee","doi":"10.1111/cup.14863","DOIUrl":"https://doi.org/10.1111/cup.14863","url":null,"abstract":"<p><p>Primary cutaneous apocrine carcinoma (PCAC) is an exceptionally rare cutaneous malignancy originating from apocrine glands, occurring most commonly in the axilla and anogenital regions. It typically follows a slow-growing clinical course, although aggressive behavior has been documented in select cases. While local recurrence and regional metastasis are not uncommon in PCAC, instances of distant metastases are rare, with only a handful of cases reported, including involvement of the liver, bone, and lung. We present a unique case of PCAC with pagetoid features arising in the groin and metastasizing to the esophagus, a highly unusual presentation not well described in the existing literature. PCAC manifesting as extramammary Paget's disease (EMPD), characterized by single malignant epithelial cells scattered throughout the epidermis, represents a rare and diagnostically challenging variant. Its ability to mimic metastatic carcinomas from various organs necessitates thorough clinical and pathological correlation for accurate diagnosis. This case report aims to illuminate the potentially aggressive behavior of PCAC and emphasizes the need for long-term surveillance and awareness of its less typical presentations.</p>","PeriodicalId":15407,"journal":{"name":"Journal of Cutaneous Pathology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145000620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Carcinosarcoma Arising in an Eccrine Spiradenoma and Presenting With Metastasis: Case Report and Literature Review.","authors":"Lisa M Marinelli, Jared M Orrock, Andrew L Folpe","doi":"10.1111/cup.14867","DOIUrl":"https://doi.org/10.1111/cup.14867","url":null,"abstract":"<p><p>Eccrine spiradenomas are benign sweat gland neoplasms that rarely undergo malignant transformation. Carcinosarcoma arising from an eccrine spiradenoma is exceptionally rare. A 41-year-old male presented with a rapidly growing neck/shoulder mass, progressive numbness, spasticity, and weakness. Further workup additionally revealed an epidural mass with spinal cord compression. Both masses were excised and predominantly showed morphologic features of high-grade osteosarcoma, with overtly malignant spindled cells producing lace-like osteoid. However, a single section from the upper back mass contained a roughly 2 mm focus of conventional eccrine spiradenoma, with an adjacent small focus having features of a poorly differentiated non-small cell carcinoma. The final diagnosis was that of a high-grade carcinosarcoma with heterologous osteosarcomatous differentiation, arising from a pre-existing eccrine spiradenoma, with metastasis to the T4-5 epidural region. The patient experienced rapid regrowth of the spinal mass and underwent radiotherapy but had unresectable metastatic disease at 2 months follow-up. We describe what is to our knowledge only the 21st example of carcinosarcoma arising from eccrine spiradenoma, mimicking metastatic osteosarcoma. Awareness of this very rare entity, careful sampling, close microscopic examination, and, in selected cases, ancillary immunohistochemistry are the keys to making this challenging diagnosis.</p>","PeriodicalId":15407,"journal":{"name":"Journal of Cutaneous Pathology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cutaneous FUS::TFCP2-Rearranged Rhabdomyosarcoma Initially Misdiagnosed as ALK-Rearranged Mesenchymal Neoplasm: A Case Report.","authors":"Daigo Shiraishi, Kenji Murata, Junya Shimizu, Yasutaka Murahashi, Taro Sugawara, Shintaro Sugita, Makoto Emori, Atsushi Teramoto","doi":"10.1111/cup.14869","DOIUrl":"10.1111/cup.14869","url":null,"abstract":"<p><p>FUS::TFCP2-rearranged rhabdomyosarcoma is a recently identified malignant neoplasm characterized by immunohistochemical evidence of the co-expression of rhabdomyoblastic markers and ALK. Herein, we report a case of cutaneous spindle cell/sclerosing rhabdomyosarcoma with FUS::TFCP2 fusion that was initially interpreted as an ALK-rearranged mesenchymal neoplasm in a 43-year-old male due to negative desmin expression, a rhabdomyoblastic marker. RNA sequencing was performed to detect ALK fusion counterparts; however, no ALK counterpart fusion was observed, and FUS::TFCP2 fusion was detected. Myogenin was negative, but MyoD1 was positive. Detection of FUS signals using FISH led to the diagnosis of FUS::TFCP2-rearranged rhabdomyosarcoma. In cases of ALK positivity and spindle cell or epithelioid cell morphology, FUS::TFCP2-rearranged rhabdomyosarcoma should be considered in the differential diagnosis using staining for rhabdomyoblastic markers other than desmin.</p>","PeriodicalId":15407,"journal":{"name":"Journal of Cutaneous Pathology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}