Dermatopathology最新文献

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Nevus-Associated versus de novo Melanoma: Do They Have Different Characteristics and Prognoses? 痣相关性黑色素瘤与新生黑色素瘤:它们有不同的特征和预后吗?
IF 1.9
Dermatopathology Pub Date : 2015-04-01 DOI: 10.1159/000375490
Nilay Duman, G. Erkin, Ö. Gököz, S. Karahan, A. Kayıkçıoğlu, I. Çelik
{"title":"Nevus-Associated versus de novo Melanoma: Do They Have Different Characteristics and Prognoses?","authors":"Nilay Duman, G. Erkin, Ö. Gököz, S. Karahan, A. Kayıkçıoğlu, I. Çelik","doi":"10.1159/000375490","DOIUrl":"https://doi.org/10.1159/000375490","url":null,"abstract":"Aim: The aim of this study was to determine if nevus-associated melanoma differs in characteristics and prognosis from de novo melanoma. Patients and Methods: The study included 118 melanoma patients. Clinical findings were retrospectively evaluated. For histopathological parameters, HE sections were reexamined. The differentiation between de novo and nevus-associated melanoma was based on the histopathological evidence of a precursor nevus. In addition, all analyses were repeated in all cases in which nevus-associated melanoma was defined based on patient anamnesis. Results: Among all patients, 28 (23.7%) had nevus-associated melanoma. Nevus-associated melanoma was most commonly located on the extremities (50%), followed by the trunk (25%), whereas de novo melanoma was most commonly located in the head and neck region (32.2%), followed by the acral region (31.1%). Other clinical findings and histopathological parameters did not differ significantly between the two groups (p > 0.05). The findings remained consistent following the repeated analysis of all cases in which nevus-associated melanoma was defined based on patient anamnesis. Conclusions: Nevus-associated melanoma was most commonly located on the extremities and the trunk, whereas de novo melanoma was most commonly located in the head and neck and the acral region. Furthermore, nevus-associated melanoma was similar to de novo melanoma in terms of prognosis and other disease characteristics.","PeriodicalId":42885,"journal":{"name":"Dermatopathology","volume":"2 1","pages":"46 - 51"},"PeriodicalIF":1.9,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000375490","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64772200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
Porokeratoma: A Possible Association with Human Papillomavirus Infection 角化孔瘤:可能与人乳头瘤病毒感染有关
IF 1.9
Dermatopathology Pub Date : 2015-04-01 DOI: 10.1159/000379745
Patricia Caseiro Silverio, X. Pham, G. Kaya
{"title":"Porokeratoma: A Possible Association with Human Papillomavirus Infection","authors":"Patricia Caseiro Silverio, X. Pham, G. Kaya","doi":"10.1159/000379745","DOIUrl":"https://doi.org/10.1159/000379745","url":null,"abstract":"Porokeratoma is a rare, relatively newly described and still unclear entity. Here, we describe the case of a 52-year-old male patient who presented with four well-defined, verrucous and hyperkeratotic lesions. Microscopically, one of the lesions showed acanthopapillomatosis overlying compact orthokeratosis. Prominent broad and confluent cornoid lamellae were present, with no granular layer and some dyskeratotic keratinocytes. PCR sequencing and in situ hybridization revealed the presence of human papillomavirus (HPV) type 16 in the lesion. The association of porokeratoma and HPV infection has not previously been reported.","PeriodicalId":42885,"journal":{"name":"Dermatopathology","volume":"2 1","pages":"43 - 45"},"PeriodicalIF":1.9,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000379745","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64775048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Cutaneous Myopericytoma: A Report of 3 Cases and Review of the Literature 皮肤肌外皮细胞瘤3例报告并文献复习
IF 1.9
Dermatopathology Pub Date : 2015-02-11 DOI: 10.1159/000371875
P. Aung, L. Goldberg, M. Mahalingam, J. Bhawan
{"title":"Cutaneous Myopericytoma: A Report of 3 Cases and Review of the Literature","authors":"P. Aung, L. Goldberg, M. Mahalingam, J. Bhawan","doi":"10.1159/000371875","DOIUrl":"https://doi.org/10.1159/000371875","url":null,"abstract":"Cutaneous myopericytoma is a rarely reported mesenchymal neoplasm with a benign biologic behavior. It is seen more commonly in males and typically occurs in adults on the distal extremities. To the best of our knowledge, there are only 13 reports describing 45 cases of cutaneous myopericytoma in the literature. The 3 cases in this report expand the clinical presentation and reinforce the histopathologic features of cutaneous myopericytoma. While the clinical presentation in 2 cases (located on the scalp and heel) was in keeping with that reported previously of a slow-growing painless firm nodule, the third case, located on the dorsal wrist, presented as a scaly keratotic nodule. Histopathologic examination of all 3 cases revealed an unencapsulated dermal nodule with concentric perivascular arrangement of plump, spindle-shaped myoid cells admixed with thin-walled blood vessels. Immunohistochemical staining revealed the lesional cells to be actin- (3/3) and caldesmon- (2/3) positive and negative for other smooth muscle markers, compatible with perivascular myopericytic differentiation.","PeriodicalId":42885,"journal":{"name":"Dermatopathology","volume":"2 1","pages":"9 - 14"},"PeriodicalIF":1.9,"publicationDate":"2015-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000371875","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64769424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 20
Wong-Type Dermatomyositis Showing Porokeratosis-Like Changes (Columnar Dyskeratosis): A Case Report and Review of the Literature 表现为角化孔样改变的wong型皮肌炎(柱状角化不良病):1例报告及文献复习
IF 1.9
Dermatopathology Pub Date : 2015-01-27 DOI: 10.1159/000371573
Nicole Umanoff, A. Fisher, J. Carlson
{"title":"Wong-Type Dermatomyositis Showing Porokeratosis-Like Changes (Columnar Dyskeratosis): A Case Report and Review of the Literature","authors":"Nicole Umanoff, A. Fisher, J. Carlson","doi":"10.1159/000371573","DOIUrl":"https://doi.org/10.1159/000371573","url":null,"abstract":"Background: Wong-type dermatomyositis (DM) exhibits simultaneous pityriasis rubra pilaris (PRP) features. Case Report: A 50-year-old woman presented with a heliotrope rash, Gottron's papules, and a poikilodermic, erythematous rash in shawl distribution without evidence of muscle weakness. Despite topical corticosteroids, the eruption progressed 9 months later to include generalized hyperkeratotic follicular papules, islands of sparing, and atrophic macules with a collarette of scale suggestive of porokeratosis. Mild dysphonia was the only sign of muscle weakness. Serology showed positive ANA. Histopathology revealed interface dermatitis with dermal mucin and melanophages, irregular psoriasiform hyperplasia, alternating mounds of para- and orthokeratosis, and tiers of dyskeratotic cells (columnar dyskeratosis). Systemic corticosteroid therapy was not tolerated; acitretin diminished the hyperkeratosis. While hyperpigmentation persisted, no progression of cutaneous or muscular symptoms has occurred after 22 months of follow-up and cessation of the therapy. Overall, her course did not differ from the natural history documented in the literature review of Wong-type DM. The most similar case also exhibited pseudocornoid lamella changes. Conclusion: Wong-type DM is a clinicopathologic DM-PRP hybrid that can also exhibit porokeratosis-like features best described as columnar dyskeratosis. Recognizing these types of lesions in DM is warranted in order to make an accurate assessment of their prognostic significance.","PeriodicalId":42885,"journal":{"name":"Dermatopathology","volume":"2 1","pages":"1 - 8"},"PeriodicalIF":1.9,"publicationDate":"2015-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000371573","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64766615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Modulation of MCP-1, TGF-β1, and α-SMA Expressions in Granulation Tissue of Cutaneous Wounds Treated with Local Vitamin B Complex: An Experimental Study 局部维生素B复合物对皮肤创面肉芽组织中MCP-1、TGF-β1和α-SMA表达调节的实验研究
IF 1.9
Dermatopathology Pub Date : 2014-11-27 DOI: 10.1159/000369163
C. Martinelli-Kläy, L. O. Lunardi, C. Martinelli, T. Lombardi, E. G. Soares, C. Martinelli
{"title":"Modulation of MCP-1, TGF-β1, and α-SMA Expressions in Granulation Tissue of Cutaneous Wounds Treated with Local Vitamin B Complex: An Experimental Study","authors":"C. Martinelli-Kläy, L. O. Lunardi, C. Martinelli, T. Lombardi, E. G. Soares, C. Martinelli","doi":"10.1159/000369163","DOIUrl":"https://doi.org/10.1159/000369163","url":null,"abstract":"Vitamin B complex can modulate the inflammatory response and activate wound healing. However, the action mechanisms involved in this process are still unclear. The aim of this study was to evaluate the effects of vitamin B complex on the modulation of monocyte chemotactic protein (MCP)-1, transforming growth factor (TGF)-β1, and α-smooth muscle actin (α-SMA) in granulation tissue growth. Cutaneous ulcers on Wistar rats were topically treated with vitamin B complex. MCP-1, TGF-β1, and α-SMA expressions were evaluated 24, 72, and 168 h after the treatment. Inflammatory cells were counted and collagen fibril staining was performed. After 24 h, more mononuclear cells (p ≤ 0.01) and a higher MCP-1 (p ≤ 0.05) and TGF-β1 (p ≤ 0.01) expression were observed. After 72 h, the number of fibroblasts and mononuclear cells (p ≤ 0.05) was elevated. After 168 h, an increased number of fibroblasts, myofibroblasts, and blood vessels (p ≤ 0.01) as well as a strong intensity of collagen fibril staining were seen. At that point, the cells presented a higher TGF-β1 expression (p ≤ 0.05), and the size of the ulcer area was decreased (p ≤ 0.01). We can conclude that vitamin B complex may stimulate a positive modulation of MCP-1, TGF-β1, and α-SMA expressions in granulation tissue of cutaneous ulcers. © 2014 S. Karger AG, Basel","PeriodicalId":42885,"journal":{"name":"Dermatopathology","volume":"1 1","pages":"98 - 107"},"PeriodicalIF":1.9,"publicationDate":"2014-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000369163","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64751229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Cellular Neurothekeoma in a Female with Guillain-Barré Syndrome: A Case Report and Review of the Literature 女性格林-巴勒综合征的细胞性神经瘤1例报告及文献复习
IF 1.9
Dermatopathology Pub Date : 2014-11-20 DOI: 10.1159/000369162
D. Sachdev, R. Barnhill, E. Taylor, S. Worswick
{"title":"Cellular Neurothekeoma in a Female with Guillain-Barré Syndrome: A Case Report and Review of the Literature","authors":"D. Sachdev, R. Barnhill, E. Taylor, S. Worswick","doi":"10.1159/000369162","DOIUrl":"https://doi.org/10.1159/000369162","url":null,"abstract":"Cellular neurothekeoma is a rare cutaneous tumor that occurs more frequently in women. A 68-year-old female with a history of left nasal alar basal cell carcinoma and Guillain-Barré syndrome presented to the clinic with a 3-mm firm skin-colored papule with scattered telangiectasias. Histopathologic examination with immunochemistry of the lesion was consistent with cellular neurothekeoma. It stained positive for microphthalmia transcription factor and NKI-C3 and negative for HMB-45 and S-100. The lesion was excised with 3-mm margins, and no recurrence was noted within 1 year of follow-up. We present a case of cellular neurothekeoma in a patient with a history of Guillain-Barré syndrome as well as a review of the literature. Our case report is unique in that no prior association has been found in the literature between cellular neurothekeoma and Guillain-Barré syndrome. © 2014 S. Karger AG, Basel","PeriodicalId":42885,"journal":{"name":"Dermatopathology","volume":"1 1","pages":"91 - 97"},"PeriodicalIF":1.9,"publicationDate":"2014-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000369162","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64751173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Cervicofacial Botryomycosis: Is Atopic Dermatitis a Predisposing Factor? 颈面孢菌病:特应性皮炎是诱发因素吗?
IF 1.9
Dermatopathology Pub Date : 2014-11-08 DOI: 10.1159/000368667
M. Heppt, J. Kamarashev
{"title":"Cervicofacial Botryomycosis: Is Atopic Dermatitis a Predisposing Factor?","authors":"M. Heppt, J. Kamarashev","doi":"10.1159/000368667","DOIUrl":"https://doi.org/10.1159/000368667","url":null,"abstract":"Background: Botryomycosis is a rare infectious disease which usually affects the skin. The low virulence of the bacteria tending to form grains and the immune status of the host are important factors in the development of the disease. Methods: We report a case of cervicofacial botryomycosis and review the current literature. Results: A 47-year-old male with a long history of moderate-to-severe atopic dermatitis presented with painful and suppurative nodules of the head and neck. A skin biopsy revealed granules consisting of Gram-positive bacterial colonies in a blossom-like assembly in the center and an eosinophilic rim in the periphery, which are pathognomonic features of botryomycosis. The lesions responded well to systemic antibiotics; however, they rapidly relapsed upon cessation of the treatment. Conclusions: We highlight the well-defined histologic features and recall an almost forgotten disease. We review common predisposing conditions and present evidence that atopic dermatitis might be an additional predisposing factor. © 2014 S. Karger AG, Basel","PeriodicalId":42885,"journal":{"name":"Dermatopathology","volume":"1 1","pages":"81 - 85"},"PeriodicalIF":1.9,"publicationDate":"2014-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000368667","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64747910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Perineural Invasion in the Absence of Malignancy: Report of Two Cases and Review of the Literature 无恶性肿瘤时的周围神经侵犯:两例报告及文献复习
IF 1.9
Dermatopathology Pub Date : 2014-11-08 DOI: 10.1159/000368600
K. Pfaltz, A. Barghorn, W. Kempf
{"title":"Perineural Invasion in the Absence of Malignancy: Report of Two Cases and Review of the Literature","authors":"K. Pfaltz, A. Barghorn, W. Kempf","doi":"10.1159/000368600","DOIUrl":"https://doi.org/10.1159/000368600","url":null,"abstract":"Perineural invasion is usually associated with invasion of the perineural space by malignant tumors. In this report, we describe 2 cases of perineural infiltration by benign-appearing epithelial cells in the skin. One case concerns a tumor-free reexcision specimen of a basal cell carcinoma and the other one an ulceration at the outer ear, consistent with acanthoma fissuratum, without a history of a previous excision. This finding was interpreted as a reactive process with dislocation of epithelium from the overlying epidermis into the perineural space. © 2014 S. Karger AG, Basel","PeriodicalId":42885,"journal":{"name":"Dermatopathology","volume":"1 1","pages":"86 - 90"},"PeriodicalIF":1.9,"publicationDate":"2014-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000368600","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64747042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Staphylococcal Scalded Skin Syndrome in an Adult on Chemotherapy 成人化疗中的葡萄球菌性烫伤皮肤综合征
IF 1.9
Dermatopathology Pub Date : 2014-10-31 DOI: 10.1159/000368599
J. J. Lee, H. Tsibris, A. Mostaghimi, C. Lian
{"title":"Staphylococcal Scalded Skin Syndrome in an Adult on Chemotherapy","authors":"J. J. Lee, H. Tsibris, A. Mostaghimi, C. Lian","doi":"10.1159/000368599","DOIUrl":"https://doi.org/10.1159/000368599","url":null,"abstract":"Staphylococcal scalded skin syndrome is a toxin-mediated, epidermolytic condition that uncommonly affects adults. A 51-year-old man receiving chemotherapy for leukemia presented with a large geographic erosion with superficial sloughing and multiple smaller lesions elsewhere. Biopsy revealed complete subcorneal splitting with multiple detached fragments of normal-appearing stratum corneum with fragments of attached acantholytic granular keratinocytes. Mild epidermal dysmaturation was also noted. Based on these findings, the patient was started on oral cephalexin, topical mupirocin, and topical clobetasol. His lesions improved significantly over the course of 1 week. © 2014 S. Karger AG, Basel","PeriodicalId":42885,"journal":{"name":"Dermatopathology","volume":"1 1","pages":"75 - 80"},"PeriodicalIF":1.9,"publicationDate":"2014-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000368599","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64747032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Michel's Transport Medium as an Alternative to Liquid Nitrogen for PCR Analysis of Skin Biopsy Specimens Michel’s运输培养基替代液氮用于皮肤活检标本PCR分析
IF 1.9
Dermatopathology Pub Date : 2014-10-24 DOI: 10.1159/000368347
Logeina Boraiy, L. Fontao
{"title":"Michel's Transport Medium as an Alternative to Liquid Nitrogen for PCR Analysis of Skin Biopsy Specimens","authors":"Logeina Boraiy, L. Fontao","doi":"10.1159/000368347","DOIUrl":"https://doi.org/10.1159/000368347","url":null,"abstract":"Formalin fixation and paraffin embedding are standard procedures for histopathological diagnosis and allow long-term archiving of tissue specimens. The cross-linking properties of formalin cause fragmentation of nucleic acids and reduce the sensitivity of PCR analysis. Michel's medium is a well-established transport medium used by dermatologists for biopsy transport to maintain tissue-fixed immunoreactants prior to direct immunofluorescence and immunoelectron microscopy. Here we report that Michel's medium also allows short-term preservation of DNA for PCR analysis and permits amplification of amplicons larger than 1 kb. Therefore, Michel's medium appears to be a reserve medium for performing PCR when no other samples are available. © 2014 S. Karger AG, Basel","PeriodicalId":42885,"journal":{"name":"Dermatopathology","volume":"111 3S 1","pages":"70 - 74"},"PeriodicalIF":1.9,"publicationDate":"2014-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000368347","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64746305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
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