Woo Cheal Cho, Richard K Yang, Volha Lenskaya, Victor G Prieto
{"title":"SBF1::BRAF-Fused Melanoma With Prominent Rhabdoid Morphology and Reed-Sternberg-Like Cells: Potential Morphologic Clues to BRAF-Fused Melanomas of Non-Spitz Lineage?","authors":"Woo Cheal Cho, Richard K Yang, Volha Lenskaya, Victor G Prieto","doi":"10.1097/DAD.0000000000003048","DOIUrl":"https://doi.org/10.1097/DAD.0000000000003048","url":null,"abstract":"","PeriodicalId":50967,"journal":{"name":"American Journal of Dermatopathology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499084","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}
Patricia K Mansfield, Samantha Ong, Sean Massa, Collin Chen, Emily Reisenbichler, M Yadira Hurley, Emily Smith, Kristin Smith
{"title":"Spiradenocarcinoma With Associated Mucinous Glandular Differentiation: A Unique Histopathologic Presentation of a Rare Diagnosis.","authors":"Patricia K Mansfield, Samantha Ong, Sean Massa, Collin Chen, Emily Reisenbichler, M Yadira Hurley, Emily Smith, Kristin Smith","doi":"10.1097/DAD.0000000000003024","DOIUrl":"https://doi.org/10.1097/DAD.0000000000003024","url":null,"abstract":"<p><strong>Abstract: </strong>Spiradenocarcinoma, also known as malignant eccrine spiradenoma or malignant spiradenoma, is a rare malignant adnexal tumor. We present a case of a 60-year-old woman with an enlarging, symptomatic, 5-cm exophytic mass on her left scalp, which was treated with wide local excision after a biopsy demonstrated suspicion for a ductal neoplasm. Histopathologic examination revealed a dermal tumor composed of nodules of monotonous basaloid cells with small intratumoral duct-like structures. In addition, squamous morules and scattered small glands with mucinous cytoplasm were seen. Immunohistochemical staining showed positivity for cytokeratin 7, p63, epithelial membrane antigen, SOX-10, and carcinoembryonic antigen (in duct lumens), with increased Ki67 proliferation index. A small focus reminiscent of benign spiradenoma was also noted. The final diagnosis was consistent with spiradenocarcinoma, uniquely presenting with mucinous glandular differentiation and squamous morules. This case highlights the importance of using precise histopathologic descriptors in diagnosing rare adnexal tumors and contributes to the growing body of literature on the heterogeneous morphology of these malignant lesions.</p>","PeriodicalId":50967,"journal":{"name":"American Journal of Dermatopathology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499085","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}
Miguel Mansilla-Polo, Helena Hernández-Évole, Daniel Martín-Torregrosa, Margarita Llavador-Ros, Eduardo Giner-Moreno, Judith Pérez-Rojas, Montserrat Évole-Buselli
{"title":"Fatal Langerhans Cell Histiocytosis in an 84-Year-Old Man: A Case Report.","authors":"Miguel Mansilla-Polo, Helena Hernández-Évole, Daniel Martín-Torregrosa, Margarita Llavador-Ros, Eduardo Giner-Moreno, Judith Pérez-Rojas, Montserrat Évole-Buselli","doi":"10.1097/DAD.0000000000003001","DOIUrl":"https://doi.org/10.1097/DAD.0000000000003001","url":null,"abstract":"","PeriodicalId":50967,"journal":{"name":"American Journal of Dermatopathology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486870","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}
Daniela Milanova-Ilieva, Georgi Bukov, Ksenia Baadji, Tsvetana Abadjieva, Kostadin Ketev, Ivanka Karavelikova, Ivan Ivanov
{"title":"Febrile Ulceronecrotic Mucha-Habermann Disease in a 22-Month-Old Boy: A Case Presentation and Literature Review.","authors":"Daniela Milanova-Ilieva, Georgi Bukov, Ksenia Baadji, Tsvetana Abadjieva, Kostadin Ketev, Ivanka Karavelikova, Ivan Ivanov","doi":"10.1097/DAD.0000000000003019","DOIUrl":"https://doi.org/10.1097/DAD.0000000000003019","url":null,"abstract":"<p><strong>Abstract: </strong>We report a 22-month-old boy with febrile ulceronecrotic Mucha-Habermann disease who presented with rapid progression of necrotic skin lesions and fever. The diagnosis was confirmed by histopathology, which revealed interface dermatitis, intraepidermal vesiculation, and erythrocyte extravasation. Immunohistochemistry revealed perivascular T-cell infiltration. Treatment with systemic corticosteroids, antibiotics, and antivirals achieved resolution. This case highlights diagnostic challenges and emphasizes the importance of integrating histopathology, immunohistochemistry, and prompt multimodal therapy.</p>","PeriodicalId":50967,"journal":{"name":"American Journal of Dermatopathology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486871","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}
Patricia-Irina Stinga, Thibault Kervarrec, Dmitry V Kazakov
{"title":"Adenocarcinoma Arising in Sporadic Apocrine Papillary Cystadenoma of the Scalp.","authors":"Patricia-Irina Stinga, Thibault Kervarrec, Dmitry V Kazakov","doi":"10.1097/DAD.0000000000003017","DOIUrl":"https://doi.org/10.1097/DAD.0000000000003017","url":null,"abstract":"<p><strong>Abstract: </strong>Hidrocystomas and cystadenomas are benign tumors, with malignant transformation being exceptionally rare, most commonly reported in the periocular region. We present a rare case of adenocarcinoma in situ arising within an apocrine papillary cystadenoma of the scalp in a 53-year-old man, without an associated nevus sebaceus. Microscopically, the tumor appeared as a predominantly cystic lesion and was located in the deep dermis. The neoplasm was composed of cuboidal to cylindrical cells, displaying decapitation secretion and forming glands, micropapillae, and occasional papillae with fibrovascular cores projecting into the cystic lumen. In addition, a considerable extraluminal proliferation of small, closely packed glands with a visible peripheral layer of myoepithelial cells was evident. Whereas most tumor cells were monomorphic, a focal area exhibited significant cellular atypia and pleomorphism. There were numerous necrotic cells, both isolated and clustered, and frequent mitotic figures, including atypical ones. RNA sequencing was performed using the Archer FusionPlex panel and revealed an HMGA2 fusion transcript of unknown significance. The lesion was surgically removed, and the patient had no evidence of disease 4 months after the diagnosis.</p>","PeriodicalId":50967,"journal":{"name":"American Journal of Dermatopathology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486865","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":"Ectopic Lactating Adenoma of Breast Presenting as a Vulvar Tumor.","authors":"Myat Ei Mon, Valeria Reina, David Suster","doi":"10.1097/DAD.0000000000003008","DOIUrl":"https://doi.org/10.1097/DAD.0000000000003008","url":null,"abstract":"<p><strong>Abstract: </strong>Ectopic breast tissue is a rare occurrence that has been well-documented along the length of the milk lines. For the most part, ectopic breast is easily recognizable on routine histology; however, difficulties may arise when dealing with tumors arising from such tissues, such as adenomas or carcinomas. We report the case of a 29-year-old pregnant woman who presented with a 1.6-cm cystic lesion in her vulva. Surgical excision was performed which showed a well-circumscribed tumor composed of compact tubular structures lined by columnar cells with round nuclei and small nucleoli devoid of mitotic activity. The tubular structures were remarkable for the presence of numerous clear vacuoles in the cytoplasm resulting in a histologic picture that is indistinguishable from so-called \"lactating\" adenomas of the breast. Immunohistochemical stains demonstrated nuclear positivity of the cells lining the ductules for estrogen and progesterone receptors, GATA3, and cytoplasmic staining for mammaglobin, supporting the breast origin of the tissue. Recognition of this lesion is of importance to avoid misdiagnosis of malignancy.</p>","PeriodicalId":50967,"journal":{"name":"American Journal of Dermatopathology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486869","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":"Bilateral Symmetric Tender Nodules on Elbows and Feet: Challenge.","authors":"Joana Amat Calbet, María Concepción Campos Mármol","doi":"10.1097/DAD.0000000000003013","DOIUrl":"https://doi.org/10.1097/DAD.0000000000003013","url":null,"abstract":"","PeriodicalId":50967,"journal":{"name":"American Journal of Dermatopathology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486868","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}