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Potereau A, Carmi M, Luquet-Plantier F, Gras V, Id Baih A, Dadban A, Carmi E. Encorafenib-induced eccrine squamous syringometaplasia. Ann Dermatol Venereol 2024; 151:103241. [PMID: 38306724 DOI: 10.1016/j.annder.2023.103241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Revised: 06/25/2023] [Accepted: 09/28/2023] [Indexed: 02/04/2024]
Affiliation(s)
- A Potereau
- Dermatologie, CHU Amiens-Picardie Site Nord, Amiens, France.
| | - M Carmi
- Cabinet de dermatologie, Docteur Carmi Esther, Amiens, France
| | - F Luquet-Plantier
- Anatomo-pathologie, Cabinet de pathologie Mathurin Moreau, Paris, France
| | - V Gras
- Pharmacovigilance, CHU Amiens-Picardie (site sud), Amiens, France
| | - A Id Baih
- Neurologie, Hôpital Universitaire La Pitié Salpétrière, Paris, France
| | - A Dadban
- Dermatologie, CHU Amiens-Picardie Site Nord, Amiens, France
| | - E Carmi
- Cabinet de dermatologie, Docteur Carmi Esther, Amiens, France
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2
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Masson Regnault M, Boutin D, Hainaut E, Frouin E. Eccrine squamous syringometaplasia may be associated with previous cryotherapy and photodynamic therapy. Ann Dermatol Venereol 2023; 150:235-237. [PMID: 37088682 DOI: 10.1016/j.annder.2023.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Revised: 12/20/2022] [Accepted: 02/21/2023] [Indexed: 04/25/2023]
Affiliation(s)
- M Masson Regnault
- CHU de Poitiers, Department of Dermatology, 2, rue de la Milétrie, 86000 Poitiers, France; LITEC, Université de Poitiers, Poitiers, France.
| | - D Boutin
- CHU de Poitiers, Department of Dermatology, 2, rue de la Milétrie, 86000 Poitiers, France
| | - E Hainaut
- CHU de Poitiers, Department of Dermatology, 2, rue de la Milétrie, 86000 Poitiers, France
| | - E Frouin
- LITEC, Université de Poitiers, Poitiers, France; CHU de Poitiers, Department of Pathology, 2, rue de la Milétrie, 86000 Poitiers, France
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3
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Singh NS, Phillips MA, Buhle AC, Prickett K, Grider DJ. Radiation-Induced Eccrine Squamous Syringometaplasia With Perineural Invasion. Am J Dermatopathol 2023; 45:475-477. [PMID: 37249367 DOI: 10.1097/dad.0000000000002464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
ABSTRACT Eccrine squamous syringometaplasia (ESS) is a benign metaplastic reaction of eccrine ducts that occurs in response to injury and can be a histologic mimic of squamous cell carcinoma (SCC). Reported is an 82-year-old man undergoing Mohs surgery for presumed SCC diagnosed in a field of radiation dermatitis. After 3 Mohs stages, the peculiar squamous proliferation was recognized as ESS and the procedure was aborted. Complicating the interpretation of the Mohs frozen section was the presence of perineural invasion because perineural invasion has not been previously reported to occur with ESS. The histologic features used to distinguish ESS from SCC are discussed.
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Affiliation(s)
- Neha S Singh
- Virginia Tech Carilion School of Medicine, Roanoke, VA
| | - Mariana A Phillips
- Section of Dermatology, Department of Internal Medicine, Virginia Tech Carilion School of Medicine, Roanoke, VA; and
| | - Anna C Buhle
- Virginia Tech Carilion School of Medicine, Roanoke, VA
| | - Kyle Prickett
- Section of Dermatology, Department of Internal Medicine, Virginia Tech Carilion School of Medicine, Roanoke, VA; and
| | - Douglas J Grider
- Section of Dermatology, Department of Internal Medicine, Virginia Tech Carilion School of Medicine, Roanoke, VA; and
- Department of Basic Science Education, Virginia Tech Carilion School of Medicine, Roanoke, VA
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4
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Velik C, De Rosa N, Kearney D, Sidhu S. Sorafenib-induced eccrine squamous syringometaplasia. Australas J Dermatol 2022; 63:e189-e190. [PMID: 35119099 DOI: 10.1111/ajd.13795] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Revised: 01/04/2022] [Accepted: 01/11/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Charlotte Velik
- Department of Dermatology, Royal Adelaide Hospital, Adelaide, South Australia, Australia
| | - Nicholas De Rosa
- Department of Dermatology, Royal Adelaide Hospital, Adelaide, South Australia, Australia
| | - Daniel Kearney
- SA Pathology, Royal Adelaide Hospital, Adelaide, South Australia, Australia
| | - Shireen Sidhu
- Department of Dermatology, Royal Adelaide Hospital, Adelaide, South Australia, Australia
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5
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Affiliation(s)
- Y S Pathania
- Department of Dermatology, Venereology and Leprology, All India Institute of Medical Sciences (AIIMS), Phase-2 Basni, Jodhpur, Rajasthan 342005, India
| | - A Budania
- Department of Dermatology, Venereology and Leprology, All India Institute of Medical Sciences (AIIMS), Phase-2 Basni, Jodhpur, Rajasthan 342005, India
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6
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Recognition and Management of Toxic Erythema of Chemotherapy for the Inpatient Dermatologist. CURRENT DERMATOLOGY REPORTS 2021. [DOI: 10.1007/s13671-021-00344-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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7
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Shakshouk H, Johnson EF, Peters MS, Wieland CN, Comfere NI, Lehman JS. Cutaneous eccrine inflammation and necrosis: review of inflammatory disorders affecting the eccrine apparatus including new associations. Hum Pathol 2021; 118:71-85. [PMID: 34450084 DOI: 10.1016/j.humpath.2021.08.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 07/30/2021] [Accepted: 08/06/2021] [Indexed: 11/18/2022]
Abstract
Despite being frequently overlooked during the examination of histopathological sections, eccrine sweat glands can offer clues for diagnosing various skin conditions. They provide important functions and can lead to several diseases when inflamed or injured. This review article provides information regarding eccrine physiology as well as well-established and novel entities that occur in association with eccrine gland pathology.
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Affiliation(s)
- Hadir Shakshouk
- Department of Dermatology, Mayo Clinic, Rochester, MN, 55905, USA; Department of Dermatology, Andrology and Venereology, Alexandria University, Alexandria, 21131, Egypt
| | - Emma F Johnson
- Department of Dermatology, Mayo Clinic, Rochester, MN, 55905, USA; Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905, USA
| | - Margot S Peters
- Department of Dermatology, Mayo Clinic, Rochester, MN, 55905, USA; Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905, USA
| | - Carilyn N Wieland
- Department of Dermatology, Mayo Clinic, Rochester, MN, 55905, USA; Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905, USA
| | - Nneka I Comfere
- Department of Dermatology, Mayo Clinic, Rochester, MN, 55905, USA; Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905, USA
| | - Julia S Lehman
- Department of Dermatology, Mayo Clinic, Rochester, MN, 55905, USA; Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905, USA.
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8
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Kaul S, Kaffenberger BH, Choi JN, Kwatra SG. Cutaneous Adverse Reactions of Anticancer Agents. Dermatol Clin 2019; 37:555-568. [DOI: 10.1016/j.det.2019.05.013] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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9
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Sanmartín O, Beato C, Suh-Oh HJ, Aragón I, España A, Majem M, Segura S, Gúrpide A, Botella R, Grávalos C. Manejo clínico de los eventos adversos cutáneos en pacientes tratados con quimioterapia: consenso nacional de la Academia Española de Dermatología y Venereología y de la Sociedad Española de Oncología Médica. ACTAS DERMO-SIFILIOGRAFICAS 2019; 110:448-459. [DOI: 10.1016/j.ad.2019.01.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2018] [Revised: 01/24/2019] [Accepted: 01/26/2019] [Indexed: 12/15/2022] Open
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10
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Clinical Management of Cutaneous Adverse Events in Patients on Chemotherapy: A National Consensus Statement by the Spanish Academy of Dermatology and Venereology and the Spanish Society of Medical Oncology. ACTAS DERMO-SIFILIOGRAFICAS 2019. [DOI: 10.1016/j.adengl.2019.05.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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11
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Clinical and histopathological spectrum of toxic erythema of chemotherapy in patients who have undergone allogeneic hematopoietic cell transplantation. Hematol Oncol Stem Cell Ther 2019; 12:19-25. [DOI: 10.1016/j.hemonc.2018.09.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2018] [Revised: 08/17/2018] [Accepted: 09/03/2018] [Indexed: 12/28/2022] Open
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12
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Dermatologic Conditions of the Early Post-Transplant Period in Hematopoietic Stem Cell Transplant Recipients. Am J Clin Dermatol 2019; 20:55-73. [PMID: 30298481 DOI: 10.1007/s40257-018-0391-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Hematopoietic stem cell transplants (HSCTs) are used to treat a variety of conditions, including hematologic malignancies, bone marrow failure syndromes, and immunodeficiencies. Over 60,000 HSCTs are performed annually worldwide, and the numbers continue to increase. Indeed, as new conditioning regimens develop, more and more individuals, including those of older age, will be eligible for transplants. Nevertheless, although HSCTs are clearly a life-saving and necessary treatment for thousands of patients per year, there is still substantial morbidity and mortality associated with the procedure. Of note, skin eruptions in the post-HSCT period are frequent and often significantly reduce quality of life in recipients. Moreover, these cutaneous findings sometimes herald an underlying systemic condition, presenting possible opportunities for timelier intervention. Dermatologists therefore play a vital role in distinguishing life-threatening conditions from benign issues and prompting recognition of critical complications earlier in their course. This article aims to review the major dermatologic conditions occurring in the early post-HSCT period.
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13
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Affiliation(s)
- Connie Liu
- Department of Dermatology (Liu, Ko), Taipei City Hospital; Department of Dermatology (Ko), National Taiwan University Hospital and College of Medicine, Taipei, Taiwan
| | - Mei-Ju Ko
- Department of Dermatology (Liu, Ko), Taipei City Hospital; Department of Dermatology (Ko), National Taiwan University Hospital and College of Medicine, Taipei, Taiwan
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14
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Bittar PG, Casady M, Selim MA, Prose NS. Chemotherapy-induced eccrine squamous syringometaplasia in an infant. Pediatr Dermatol 2018; 35:e84-e85. [PMID: 29231256 DOI: 10.1111/pde.13360] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
There are few reports of chemotherapy-induced eccrine squamous syringometaplasia in children. We report the first case of an infant developing this condition after treatment with busulfan, fludarabine, and antithymocyte globulin in preparation for bone marrow transplantation. Twenty-eight days after transplantation, the infant developed faintly erythematous papules and plaques on the bilateral axillae, inguinal folds, and sites of adhesives. Punch biopsy revealed eccrine glands with dyskeratotic cells and focal squamous metaplasia consistent with chemotherapy-induced eccrine squamous syringometaplasia.
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Affiliation(s)
| | - Megan Casady
- Department of Dermatology, Duke University Medical Center, Durham, NC, USA
| | - Maria A Selim
- Department of Dermatology, Duke University Medical Center, Durham, NC, USA.,Pathology, Duke University Medical Center, Durham, NC, USA
| | - Neil S Prose
- Department of Dermatology, Duke University Medical Center, Durham, NC, USA
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15
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Basu T. Neutrophilic eccrine hidradenitis can be induced by BRAF inhibitors. Br J Dermatol 2017; 176:1443-1444. [DOI: 10.1111/bjd.15582] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- T.N. Basu
- Department of Dermatology; King's College Hospital; London SE5 9RS U.K
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16
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Huh JW, Jo M, Yoo J, Kim MS, Choi KH, Park HJ, Jue MS. Eccrine Squamous Syringometaplasia Associated with Pelubiprofen Therapy. Ann Dermatol 2017; 29:334-336. [PMID: 28566912 PMCID: PMC5438942 DOI: 10.5021/ad.2017.29.3.334] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2016] [Revised: 08/26/2016] [Accepted: 08/31/2016] [Indexed: 11/08/2022] Open
Abstract
Eccrine squamous syringometaplasia (ESS) is a histologically distinctive skin eruption occurring predominantly in acral or intertriginous areas presenting as erythematous macules, papules or patches. The etiology of ESS remains unclear, but it is usually reported in patients receiving chemotherapy for various malignant neoplasms. To date, only two cases of ESS associated with non-steroidal anti-inflammatory drugs (NSAIDs), which has distinctive clinical features and pathogenesis, have been reported in the literature. Herein, we report a rare and interesting case of ESS associated with pelubiprofen, a recently developed NSAID, which appeared after pelubiprofen therapy and resolved spontaneously after discontinuing the medication.
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Affiliation(s)
- Joon Won Huh
- Department of Dermatology, Veterans Health Service Medical Center, Seoul, Korea
| | - Mingyul Jo
- Department of Dermatology, Veterans Health Service Medical Center, Seoul, Korea
| | - Jisook Yoo
- Department of Dermatology, Veterans Health Service Medical Center, Seoul, Korea
| | - Min Soo Kim
- Department of Dermatology, Veterans Health Service Medical Center, Seoul, Korea
| | - Kwang-Hyun Choi
- Department of Dermatology, Veterans Health Service Medical Center, Seoul, Korea
| | - Hyang-Joon Park
- Department of Dermatology, Veterans Health Service Medical Center, Seoul, Korea
| | - Mihn-Sook Jue
- Department of Dermatology, Veterans Health Service Medical Center, Seoul, Korea
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17
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Wolf R, Tüzün Y. Baboon syndrome and toxic erythema of chemotherapy: Fold (intertriginous) dermatoses. Clin Dermatol 2015; 33:462-5. [DOI: 10.1016/j.clindermatol.2015.04.008] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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18
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Sibaud V. [Toxic erythema of chemotherapy]. Ann Dermatol Venereol 2015; 142:81-4. [PMID: 25662853 DOI: 10.1016/j.annder.2014.09.021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2014] [Accepted: 09/12/2014] [Indexed: 12/18/2022]
Affiliation(s)
- V Sibaud
- Unité de recherche clinique, département d'oncologie médicale, institut Claudius-Regaud, institut universitaire du cancer, Toulouse oncopole, 1, rue Irene-Joliot-Curie, 31100 Toulouse, France.
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19
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Najem A, Deregnaucourt D, Ramdane S, Dridba M, Djouba F, Vercambre-Darras S. Intertrigo-Like Dermatitis With Pegylated Liposomal Doxorubicin: Diagnosis and Management. J Clin Oncol 2014; 32:e104-6. [DOI: 10.1200/jco.2013.48.7470] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Affiliation(s)
- Abeer Najem
- Dr Duchenne Hospital, Boulogne-sur-Mer, France
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20
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Advances in the Diagnosis of Drug Eruptions. ACTAS DERMO-SIFILIOGRAFICAS 2013. [DOI: 10.1016/j.adengl.2012.11.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] Open
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21
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Liuti F, Martín PA, Montenegro Damaso T, Abreu DR, Santana JH. Eccrine squamous syringometaplasia associated with dabrafenib therapy. J Am Acad Dermatol 2013; 69:e273-e274. [DOI: 10.1016/j.jaad.2013.06.049] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2013] [Revised: 06/26/2013] [Accepted: 06/29/2013] [Indexed: 11/25/2022]
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22
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de la Torre C, Suh Oh H. Novedades en el diagnóstico de las toxicodermias. ACTAS DERMO-SIFILIOGRAFICAS 2013; 104:782-8. [DOI: 10.1016/j.ad.2012.11.016] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2012] [Revised: 11/13/2012] [Accepted: 11/24/2012] [Indexed: 11/26/2022] Open
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23
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Simulators of squamous cell carcinoma of the skin: diagnostic challenges on small biopsies and clinicopathological correlation. J Skin Cancer 2013; 2013:752864. [PMID: 23878739 PMCID: PMC3708441 DOI: 10.1155/2013/752864] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2013] [Revised: 05/30/2013] [Accepted: 05/30/2013] [Indexed: 11/30/2022] Open
Abstract
Squamous cell carcinoma (SCC) is a common and important primary cutaneous malignancy. On skin biopsies, SCC is characterized by significant squamous cell atypia, abnormal keratinization, and invasive features. Diagnostic challenges may occasionally arise, especially in the setting of small punch biopsies or superficial shave biopsies, where only part of the lesion may be assessable by the pathologist. Benign mimics of SCC include pseudoepitheliomatous hyperplasia, eccrine squamous syringometaplasia, inverted follicular keratosis, and keratoacanthoma, while malignant mimics of SCC include basal cell carcinoma, melanoma, and metastatic carcinoma. The careful application of time-honored diagnostic criteria, close clinicopathological correlation and a selective request for a further, deeper, or wider biopsy remain the most useful strategies to clinch the correct diagnosis. This review aims to present the key differential diagnoses of SCC, to discuss common diagnostic pitfalls, and to recommend ways to deal with diagnostically challenging cases.
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Lee HY, Philippidou M, Schey S, Selway R, Walsh S, Creamer D. Flexural eruption in two hospitalized patients. Clin Exp Dermatol 2013; 38:943-5. [DOI: 10.1111/ced.12132] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/03/2012] [Indexed: 11/30/2022]
Affiliation(s)
- H Y. Lee
- Department of Dermatology; King's College Hospital; London UK
| | - M. Philippidou
- Department of Pathology; King's College Hospital; London UK
| | - S. Schey
- Department of Haematological Medicine; King's College Hospital; London UK
| | - R. Selway
- Department of Neurosciences; King's College Hospital; London UK
| | - S. Walsh
- Department of Dermatology; King's College Hospital; London UK
| | - D. Creamer
- Department of Dermatology; King's College Hospital; London UK
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25
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Concha Garzón M, Llamas-Velasco M, Sánchez-Pérez J, Fraga J. Radiodermatitis with Signs of Eccrine Squamous Syringometaplasia Following a Diagnostic Procedure. ACTAS DERMO-SIFILIOGRAFICAS 2013. [DOI: 10.1016/j.adengl.2012.04.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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26
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Sibaud V, Fricain JC, Baran R, Robert C. Anomalies pigmentaires induites par les traitements anticancéreux. Première partie : les chimiothérapies. Ann Dermatol Venereol 2013; 140:183-96. [DOI: 10.1016/j.annder.2012.12.012] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2012] [Revised: 10/31/2012] [Accepted: 12/05/2012] [Indexed: 02/06/2023]
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27
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Lescoat A, Droitcourt C, Stock N, Le Gall F, Dupuy A. Vemurafenib-Induced Eccrine Squamous Syringometaplasia. Dermatology 2013; 226:362-4. [DOI: 10.1159/000351320] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2013] [Accepted: 04/04/2013] [Indexed: 11/19/2022] Open
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Gallo E, Llamas-Velasco M, Navarro R, Fraga J, García-Diez A. Eccrine squamous syringometaplasia secondary to cutaneous extravasation of docetaxel: report of three cases. J Cutan Pathol 2012; 40:326-9. [PMID: 23170995 DOI: 10.1111/cup.12041] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2012] [Revised: 09/25/2012] [Accepted: 09/30/2012] [Indexed: 11/26/2022]
Abstract
Eccrine squamous syringometaplasia is characterized by the metaplasia of cuboidal epithelial cells of the eccrine sweat ducts into squamous epithelial cells. It has been associated with several conditions including chemotherapy-related bilateral dermatitis, an entity that can take place in body areas rich in eccrine glands, as well as in acral erythema related to chemotherapy. Only a few cases because of cutaneous extravasation of chemotherapy have been previously reported. We report three cases of eccrine squamous syringometaplasia secondary to extravasation of docetaxel.
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Affiliation(s)
- Elena Gallo
- Department of Dermatology, Hospital Universitario de La Princesa, Madrid, Spain.
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29
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Story SG, Beschloss JK, Dolan CK, Thomas BC. Eccrine squamous syringometaplasia associated with vemurafenib therapy. J Am Acad Dermatol 2012; 67:e208-10. [DOI: 10.1016/j.jaad.2012.02.038] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2011] [Revised: 02/17/2012] [Accepted: 02/24/2012] [Indexed: 10/27/2022]
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30
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Concha Garzón MJ, Llamas-Velasco M, Sánchez-Pérez J, Fraga J. Radiodermatitis with signs of eccrine squamous syringometaplasia following a diagnostic procedure. ACTAS DERMO-SIFILIOGRAFICAS 2012; 104:255-7. [PMID: 22925229 DOI: 10.1016/j.ad.2012.04.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2012] [Revised: 04/17/2012] [Accepted: 04/20/2012] [Indexed: 11/27/2022] Open
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31
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Teoh DCW, Aw DCW, Jaffar H, Ling W, Yong WP, Lee YS, Choo SN, Tan KB. Tamoxifen-induced eccrine squamous syringometaplasia. J Cutan Pathol 2012; 39:554-7. [PMID: 22390276 DOI: 10.1111/j.1600-0560.2011.01860.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
A 74-year-old woman had carcinoma of her right breast for which surgery was performed. Four weeks following the start of tamoxifen therapy, she developed papules and plaques over her face, trunk and limbs. A skin biopsy showed perivascular and periadnexal mixed inflammatory cellular infiltrate with fibroplasia. Notably, the dermis also showed squamous epithelial islands, which in foci were noted to be closely associated with eccrine epithelium. This was confirmed with double peroxidase - alkaline phosphatase immunohistochemistry - the eccrine lumina highlighted with carcinoembryonic antigen (polyclonal) and the squamous metaplasia positive for cytokeratin 5/6. Eccrine squamous syringometaplasia was diagnosed. With close clinicopathological correlation, the cutaneous eruption was attributed to tamoxifen. Following discontinuation of the drug, the eruption resolved. Eccrine squamous syringometaplasia has been reported to occur in association with diverse conditions, including skin ulcers, burns and as a cutaneous adverse drug reaction, most commonly to chemotherapeutic drugs. This is believed to be the first report involving tamoxifen.
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Affiliation(s)
- David C-W Teoh
- University Medicine Cluster, National University Health System, Singapore
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