DermatopathologyPub Date : 2022-02-25DOI: 10.3390/dermatopathology9010009
Lopez Dominguez Johanny, Olayemi Sokumbi, Misty M Hobbs, Liuyan Jiang
{"title":"Polarization of Macrophages in Granulomatous Cutaneous T Cell Lymphoma Granulomatous Mycosis Fungoides Microenvironment.","authors":"Lopez Dominguez Johanny, Olayemi Sokumbi, Misty M Hobbs, Liuyan Jiang","doi":"10.3390/dermatopathology9010009","DOIUrl":"https://doi.org/10.3390/dermatopathology9010009","url":null,"abstract":"<p><p>Polarization of tumor associated macrophages (TAMs) has been shown to have prognostic significance in different cancer types. This study evaluates the macrophage subtypes that predominates in GMF. Cases of GCTCL from 2007-2020 were identified (<i>n</i> = 6), clinical data was extracted from the electronic medical record, and all pathology slides were reviewed to confirm the diagnosis. Immunohistochemistry (IHC) studies were performed to characterize M1 and M2 macrophage polarization. CD68 (PGM1), pSTAT1, and CD163 were used as pan macrophage, M1, and M2 markers, respectively. The macrophages with positive staining at hot spot per high power field were counted and recorded for data analysis. The average age of patients was 60.5 years [range, 21-78], five patients (83%) were women and 1 (17%) was a man. Five patients were Caucasian (83%), and 1 was Black/African American (17%). Two patients had late stage GMF with M2 (CD163) predominance and the other three had early stage GMF with M1 (pSTAT1) predominance. Our study suggests that macrophage polarization present in GMF tends to be M1 in early stages and M2 in advanced stages. Additional studies are needed to further elucidate the microenvironment of macrophages present in GMF. Such findings may lead to prognostic and therapeutic advances in GMF.</p>","PeriodicalId":42885,"journal":{"name":"Dermatopathology","volume":" ","pages":"54-59"},"PeriodicalIF":1.9,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8946979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40316126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
DermatopathologyPub Date : 2022-01-29DOI: 10.3390/dermatopathology9010008
Hatice Zengin, Bahadır Yıldız, T. Pukhalskaya, B. Smoller
{"title":"Absence of TFE3 Immunoexpression in a Spectrum of Cutaneous Mixed Tumors: A Retrospective Pilot Study","authors":"Hatice Zengin, Bahadır Yıldız, T. Pukhalskaya, B. Smoller","doi":"10.3390/dermatopathology9010008","DOIUrl":"https://doi.org/10.3390/dermatopathology9010008","url":null,"abstract":"Background: Cutaneous mixed tumors (CMTs) include benign, atypical, and malignant chondroid syringomas. This spectrum of entities is known to be a part of myoepithelial neoplasms, which display considerable genetic heterogeneity. In a previous report, a malignant chondroid syringoma (MCS) demonstrated PHF1-TFE3 gene fusion and strong TFE3 immunohistochemical (IHC) staining. The authors suggested that the MCS is genetically related to tumors with TFE3 rearrangements such as renal cell carcinoma and might have genetic heterogeneity. In this study, we aim to investigate potential TFE3 gene fusions with TFE3 IHC stain in a spectrum of CMTs. Materials: Eleven benign chondroid syringoma (BCS), one atypical chondroid syringoma (ACS), and one malignant chondroid syringoma cases were identified, stained with TFE3 IHC stain, and interpreted based on preset criteria. Results: ACS and MCS cases did not show any staining. In 7 of 11 BCS cases, weak (1+) staining was observed in less than 20% of the tumor cells and were considered negative. Additionally, in one BCS case, weak (1+) and (2+) staining was shown in approximately 15% and less than 1% of the tumor cells, respectively. Based on our positivity criteria, this case was also interpreted as negative. Conclusions: Our study failed to reveal possible TFE3 gene fusion by IHC staining in benign, atypical, and malignant chondroid syringomas. Although the negative staining in MCS suggests a genetic heterogeneity in this entity, further studies with larger case groups are needed for a more definitive conclusion.","PeriodicalId":42885,"journal":{"name":"Dermatopathology","volume":"9 1","pages":"48 - 53"},"PeriodicalIF":1.9,"publicationDate":"2022-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47883458","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}
DermatopathologyPub Date : 2022-01-28DOI: 10.3390/dermatopathology9010007
Austin Miller, Susuana Adjei, L. Temiz, Pavandeep Gill, Alfredo Siller, S. Tyring
{"title":"Dermal Duct Tumor: A Diagnostic Dilemma","authors":"Austin Miller, Susuana Adjei, L. Temiz, Pavandeep Gill, Alfredo Siller, S. Tyring","doi":"10.3390/dermatopathology9010007","DOIUrl":"https://doi.org/10.3390/dermatopathology9010007","url":null,"abstract":"Poromas or poroid tumors are a group of rare, benign cutaneous neoplasms derived from the terminal eccrine or apocrine sweat gland duct. There are four poroma variants with overlapping features: dermal duct tumor (DDT), eccrine poroma, hidroacanthoma simplex, and poroid hidradenoma, of which DDT is the least common. Clinically, the variants have a nonspecific appearance and present as solitary dome-shaped papules, plaques, or nodules. They can be indistinguishable from each other and a multitude of differential diagnoses, necessitating a better understanding of the characteristics that make the diagnosis of poroid neoplasms. However, there remains a paucity of information on these lesions, especially DDTs, given their infrequent occurrence. Herein, we review the literature on DDTs with an emphasis on epidemiology, pathogenesis, clinical features, diagnosis, and management.","PeriodicalId":42885,"journal":{"name":"Dermatopathology","volume":"9 1","pages":"36 - 47"},"PeriodicalIF":1.9,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47065707","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}
DermatopathologyPub Date : 2022-01-26DOI: 10.3390/dermatopathology9010006
{"title":"Acknowledgment to Reviewers of Dermatopathology in 2021","authors":"","doi":"10.3390/dermatopathology9010006","DOIUrl":"https://doi.org/10.3390/dermatopathology9010006","url":null,"abstract":"Rigorous peer-reviews are the basis of high-quality academic publishing [...]","PeriodicalId":42885,"journal":{"name":"Dermatopathology","volume":"9 1","pages":"35 - 35"},"PeriodicalIF":1.9,"publicationDate":"2022-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46756777","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}
DermatopathologyPub Date : 2022-01-17DOI: 10.3390/dermatopathology9010005
Paola Lara-Valencia, Anna Ybo, Anna Coter
{"title":"Fibroblastic Connective Tissue Nevus Mimicking Lipoma on Ultrasound: Case Report and Brief Review.","authors":"Paola Lara-Valencia, Anna Ybo, Anna Coter","doi":"10.3390/dermatopathology9010005","DOIUrl":"https://doi.org/10.3390/dermatopathology9010005","url":null,"abstract":"<p><p>Fibroblastic connective tissue nevus (FCTN) is a rare, benign, and recently described dermal mesenchymal lesion characterized by CD34-positive spindle cells. We present a case of FCTN on the upper back of a 9-month-old boy who was diagnosed with a benign lipoma by ultrasound.</p>","PeriodicalId":42885,"journal":{"name":"Dermatopathology","volume":"9 1","pages":"32-34"},"PeriodicalIF":1.9,"publicationDate":"2022-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8788548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39857702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
DermatopathologyPub Date : 2022-01-16DOI: 10.3390/dermatopathology9010004
Giorgio Annessi, Emanuele Annessi
{"title":"Annular Lichenoid Dermatitis (of Youth).","authors":"Giorgio Annessi, Emanuele Annessi","doi":"10.3390/dermatopathology9010004","DOIUrl":"https://doi.org/10.3390/dermatopathology9010004","url":null,"abstract":"<p><p>About 20 years after its first description, Annular Lichenoid Dermatitis of Youth (ALDY) is recognized as a distinctive lichenoid dermatosis with specific clinical and histological features. The disease occurs mostly in young persons all over the world, runs a chronic course, and has an obscure etiopathogenesis. Clinically, lesions consist of persistent, asymptomatic erythematous macules and round-oval annular patches with a red-violaceous non-scaling border and central hypopigmentation, mostly localized on the groin and flanks. Histology shows a peculiar lichenoid dermatitis characterized by irregular epidermal hyperplasia with an alternation of thinned and quadrangular rete ridges and a dense band-like lichenoid infiltrate of lymphocytes in the papillary dermis. Typically, there is infiltration of lymphocytes into the lower epidermal layers with massive necrosis/apoptosis of keratinocytes, which is limited to the tips of rete ridges. Dermal lymphocytes are usually CD3<sup>+</sup>, CD4<sup>+</sup>, while most of the intraepidermal T cells are CD8<sup>+</sup>. Analysis of TCR-γ-chain gene rearrangement displayed polyclonality in all cases examined. Differential diagnosis mainly includes morphea, mycosis fungoides, annular erythemas and inflammatory lesions of vitiligo. Topical corticosteroids and topical tacrolimus represent the most effective drugs for ALDY treatment.</p>","PeriodicalId":42885,"journal":{"name":"Dermatopathology","volume":"9 1","pages":"23-31"},"PeriodicalIF":1.9,"publicationDate":"2022-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8788443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39858486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
DermatopathologyPub Date : 2022-01-10DOI: 10.3390/dermatopathology9010003
Angelo Cassisa, Margherita Vannucchi
{"title":"Morphea Profunda with Tertiary Lymphoid Follicles: Description of Two Cases and Review of the Literature.","authors":"Angelo Cassisa, Margherita Vannucchi","doi":"10.3390/dermatopathology9010003","DOIUrl":"https://doi.org/10.3390/dermatopathology9010003","url":null,"abstract":"<p><p>Morphea profunda or subcutaneous (deep) morphea is a variant of localized morphea, characterized by one or more ill-defined, deep sclerotic plaque. Preferential sites are the abdomen, trunk, sacral area, or extremities. The presence of hyperplastic lymphoid follicles in the context of the sclerotic bands of morphea is rarely described. Localized scleroderma is sustained by a profibrotic inflammatory profile. Transforming growth factor-β (TGF-β), an imbalance between functional subclasses of T-lymphocytes (innate immune cells) has a role in activate collagen deposition. In this case report, we present two cases of morphea profunda with lymphoid follicular hyperplasia. A systematic review of the literature on the pathophysiology of localized scleroderma is also presented, with particular reference to the presence of lymphoid structures.</p>","PeriodicalId":42885,"journal":{"name":"Dermatopathology","volume":"9 1","pages":"17-22"},"PeriodicalIF":1.9,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8788542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39857105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
DermatopathologyPub Date : 2022-01-01DOI: 10.1007/978-3-030-82820-2_16
W. Kempf, M. Hantschke, H. Kutzner
{"title":"Drug Reactions","authors":"W. Kempf, M. Hantschke, H. Kutzner","doi":"10.1007/978-3-030-82820-2_16","DOIUrl":"https://doi.org/10.1007/978-3-030-82820-2_16","url":null,"abstract":"","PeriodicalId":42885,"journal":{"name":"Dermatopathology","volume":"38 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50980353","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}
DermatopathologyPub Date : 2022-01-01DOI: 10.1007/978-3-030-82820-2_1
W. Kempf, M. Hantschke, H. Kutzner
{"title":"Principles of Diagnosis","authors":"W. Kempf, M. Hantschke, H. Kutzner","doi":"10.1007/978-3-030-82820-2_1","DOIUrl":"https://doi.org/10.1007/978-3-030-82820-2_1","url":null,"abstract":"","PeriodicalId":42885,"journal":{"name":"Dermatopathology","volume":"158 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50980093","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}
DermatopathologyPub Date : 2022-01-01DOI: 10.1007/978-3-030-82820-2_20
W. Kempf, M. Hantschke, H. Kutzner
{"title":"Epidermal Hamartomas and Neoplasms","authors":"W. Kempf, M. Hantschke, H. Kutzner","doi":"10.1007/978-3-030-82820-2_20","DOIUrl":"https://doi.org/10.1007/978-3-030-82820-2_20","url":null,"abstract":"","PeriodicalId":42885,"journal":{"name":"Dermatopathology","volume":"34 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50980456","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}