{"title":"Primary Cutaneous Melanoma With Sebocyte-like Melanocytes: Case Report and Review of the Literature.","authors":"Carmelo Urso","doi":"10.1097/DAD.0000000000003007","DOIUrl":"10.1097/DAD.0000000000003007","url":null,"abstract":"<p><strong>Abstract: </strong>Melanocytes with clear vacuolated cytoplasm and scalloped nuclei, resembling mature sebocytes, can occur in congenital, acquired, and blue melanocytic nevi but are rare in malignant melanomas. A case of primary cutaneous melanoma with sebocyte-like cells is reported. The patient was a 75-year-old male patient with a large pigmented lesion located on his right forearm. Histopathologically, the tumor showed two distinctive types of neoplastic cells: atypical melanocytes with eosinophilic cytoplasm and scattered cells with scalloped nuclei, sometimes containing pseudoinclusions, and clear multivacuolated cytoplasm, closely mimicking sebaceous differentiation. Immunohistochemically, sebocyte-like cells were positive for SOX10, PRAME, EMA, and factor XIIIa. A literature review identified six additional cases, three metastatic and three primary melanomas with sebocytes-like cells. Histopathologically, two variants were recognized. In addition to conventional melanoma cells, most of lesions (three metastatic and two primary tumors) contained sebocyte-like melanocytes only; two primary tumors showed sebocyte-like cells mixed to other clear cells, such as intermediate and/or balloon melanocytes.</p>","PeriodicalId":50967,"journal":{"name":"American Journal of Dermatopathology","volume":" ","pages":"684-687"},"PeriodicalIF":1.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499080","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":"Significance of Sectioning (Breadloafing) the Entire Skin Tissue When Pathology Does Not Match Clinical Appearance.","authors":"Ayesha Mujeb, Maria Salomé Páez-García, Noah Musolff, Madeline Tchack, Bassem Rafiq, Babar Rao","doi":"10.1097/DAD.0000000000003046","DOIUrl":"10.1097/DAD.0000000000003046","url":null,"abstract":"<p><strong>Abstract: </strong>Melanocytic nevi, or moles, are benign melanocyte proliferations, often presenting diagnostic challenges when clinical and histopathologic findings are inconsistent. Melanoma in situ (MIS), the earliest melanoma stage, remains confined to the epidermis, making early diagnosis critical for optimal outcomes. This case report highlights the diagnostic utility of the breadloafing, a serial sectioning technique, in cases where conventional histopathology might miss malignancy. This case presents a 35-year-old woman with a recurrent pigmented lesion initially diagnosed as a compound melanocytic nevus. Ten months postbiopsy, the lesion recurred, and subsequent histopathology revealed MIS. The lesion's complete excision showed an intradermal nevus without atypia, raising concerns of misdiagnosis. However, breadloafing confirmed MIS adjacent to the intradermal nevus. This case highlights the importance of integrating serial sectioning techniques, such as breadloafing, to reconcile clinicopathologic discrepancies and enhance diagnostic accuracy for atypical pigmented lesions.</p>","PeriodicalId":50967,"journal":{"name":"American Journal of Dermatopathology","volume":" ","pages":"709-712"},"PeriodicalIF":1.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509292","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}
Gilberto Pires da Rosa, Catarina Pedrosa Costa, Alberto Mota, Maria J Cruz
{"title":"Long-Standing Vascular Lesions of the Ear and Periauricular Area: Challenge.","authors":"Gilberto Pires da Rosa, Catarina Pedrosa Costa, Alberto Mota, Maria J Cruz","doi":"10.1097/DAD.0000000000003011","DOIUrl":"10.1097/DAD.0000000000003011","url":null,"abstract":"","PeriodicalId":50967,"journal":{"name":"American Journal of Dermatopathology","volume":" ","pages":"e100-e101"},"PeriodicalIF":1.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499078","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}
Elsayed Ibrahim, Richard K Yang, Maria A Gubbiotti, Victor G Prieto, Woo Cheal Cho
{"title":"Primary Cutaneous NUT Adnexal Carcinoma With BRD4::NUTM1 Fusion: A 19-Year Follow-Up.","authors":"Elsayed Ibrahim, Richard K Yang, Maria A Gubbiotti, Victor G Prieto, Woo Cheal Cho","doi":"10.1097/DAD.0000000000003034","DOIUrl":"10.1097/DAD.0000000000003034","url":null,"abstract":"","PeriodicalId":50967,"journal":{"name":"American Journal of Dermatopathology","volume":" ","pages":"731-733"},"PeriodicalIF":1.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499081","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":"Molluscum-Like Lesions in an Immunocompromised Patient: Challenge.","authors":"Songhee Han, Sabrina Newman, Shyam S Raghavan","doi":"10.1097/DAD.0000000000003037","DOIUrl":"10.1097/DAD.0000000000003037","url":null,"abstract":"","PeriodicalId":50967,"journal":{"name":"American Journal of Dermatopathology","volume":" ","pages":"e95-e96"},"PeriodicalIF":1.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499079","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":"Molluscum-Like Lesions in an Immunocompromised Patient: Answer.","authors":"Songhee Han, Sabrina Newman, Shyam S Raghavan","doi":"10.1097/DAD.0000000000003038","DOIUrl":"10.1097/DAD.0000000000003038","url":null,"abstract":"","PeriodicalId":50967,"journal":{"name":"American Journal of Dermatopathology","volume":"47 9","pages":"725-726"},"PeriodicalIF":1.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876690","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}
Gilberto Pires da Rosa, Catarina Pedrosa Costa, Alberto Mota, Maria J Cruz
{"title":"Long-Standing Vascular Lesions of the Ear and Periauricular Area: Answer.","authors":"Gilberto Pires da Rosa, Catarina Pedrosa Costa, Alberto Mota, Maria J Cruz","doi":"10.1097/DAD.0000000000003012","DOIUrl":"10.1097/DAD.0000000000003012","url":null,"abstract":"","PeriodicalId":50967,"journal":{"name":"American Journal of Dermatopathology","volume":"47 9","pages":"729-730"},"PeriodicalIF":1.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876689","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":"Role of Histopathology of Skin Lesions in Diagnosing MAP2K1-Positive Cardiofaciocutaneous Syndrome.","authors":"Rallapalli Rajyalakshmi, Chavali Venkata Lakshmi, Valasapalli Rajani","doi":"10.1097/DAD.0000000000003015","DOIUrl":"10.1097/DAD.0000000000003015","url":null,"abstract":"<p><strong>Abstract: </strong>Cardiofaciocutaneous syndrome (CFC) is a rare autosomal dominant RASopathy with multisystem involvement and a wide spectrum of clinical findings. Cardiac, facial, and cutaneous features are characteristic of this developmental disorder. The diagnosis of this rare syndrome is challenging because it is based on a set of clinical features alone that are similar to those of other RASopathies, such as Noonan syndrome and Costello syndrome. Cutaneous manifestations are one of the diagnostic features of CFC syndrome, and most documented cases of CFC syndrome provide clinical descriptions of skin lesions with minimal information about the histology. In this study, we present the unique histopathology features of cutaneous lesions in a 7-month-old male child with typical facial features and cardiac abnormalities of CFC syndrome. These were acanthosis, hyperkeratosis, and squamous metaplasia of the eccrine glands with granuloma formation. Molecular analysis by next-generation sequencing showed MAP2K1 gene mutation within exon 3. In addition, we conducted a comprehensive study of the histopathology of skin lesions of CFC syndrome by various authors. On 7 years follow-up, the patient was found to have global developmental delay and muscle contractures, which are common with MAP2K1 gene mutations. Skin lesions in CFC syndrome are usually associated with BRAF mutations, and the present case is one of the few to describe the detailed histopathology of skin lesions in CFC syndrome with MAP2K1 gene mutation.</p>","PeriodicalId":50967,"journal":{"name":"American Journal of Dermatopathology","volume":" ","pages":"e104-e110"},"PeriodicalIF":1.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499083","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}
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":"10.1097/DAD.0000000000003048","url":null,"abstract":"","PeriodicalId":50967,"journal":{"name":"American Journal of Dermatopathology","volume":" ","pages":"733-735"},"PeriodicalIF":1.0,"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}
Mathilde Kvamme, Mia Lie Petersen, Erlend Aass Engstrøm, Urša Maierhofer, Asok Biswas, Jan Øyvind Holm, Thomas Papathomas
{"title":"An Atypical Rash After Radiotherapy in a Patient With Breast Cancer: Answer.","authors":"Mathilde Kvamme, Mia Lie Petersen, Erlend Aass Engstrøm, Urša Maierhofer, Asok Biswas, Jan Øyvind Holm, Thomas Papathomas","doi":"10.1097/DAD.0000000000003043","DOIUrl":"10.1097/DAD.0000000000003043","url":null,"abstract":"","PeriodicalId":50967,"journal":{"name":"American Journal of Dermatopathology","volume":"47 9","pages":"727-728"},"PeriodicalIF":1.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876688","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}