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Chakraborty D, Ahmed SKS, Das S. Cystic Panfolliculoma, an Uncommon Cutaneous Adnexal Tumour in an Atypical Age Group and an Unusual Site. Indian J Dermatol 2023; 68:729. [PMID: 38371543 PMCID: PMC10868982 DOI: 10.4103/ijd.ijd_451_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2024] Open
Affiliation(s)
- Disha Chakraborty
- From the Calcutta National Medical College and Hospital, Kolkata, West Bengal, India E-mail:
| | - S K Shahriar Ahmed
- From the Calcutta National Medical College and Hospital, Kolkata, West Bengal, India E-mail:
| | - Sudip Das
- From the Calcutta National Medical College and Hospital, Kolkata, West Bengal, India E-mail:
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2
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Al‐Zahawi S, Ghanadan A, Etesami I. A case of retro-auricular panfolliculoma mimicking basal cell carcinoma: A rare adnexal tumor with a review of the literature. Clin Case Rep 2023; 11:e7874. [PMID: 37692159 PMCID: PMC10485239 DOI: 10.1002/ccr3.7874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Revised: 08/20/2023] [Accepted: 08/23/2023] [Indexed: 09/12/2023] Open
Abstract
Key Clinical Message A rare case of slow-growing retro-auricular panfolliculoma is presented. The lesion was biopsied to rule out basal cell carcinoma but histopathology revealed a follicular tumor with differentiation toward all segments of the hair follicle. Panfolliculoma is a benign follicular tumor with no report of recurrence after surgical excision and no malignant transformation of the previously reported cases. Abstract Panfolliculoma is a rare slow growing adnexal tumor, characterized by differentiation toward all parts of the hair follicle including the infundibulum, isthmus, stem, and bulbs. Clinically this adnexal tumor may mimick basal cell carcinoma and other adnexal neoplasm including trichoblastoma and trichoepithelioma. In this study, we present a rare case of slow-growing retro-auricular panfolliculoma of a 70-year-old female mimicking basal cell carcinoma that was successfully excised without recurrence.
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Affiliation(s)
- Saman Al‐Zahawi
- Department of dermatology, Razi hospitalTehran University of Medical Sciences (TUMS)TehranIran
| | - Alireza Ghanadan
- Department of dermatopathology, Razi hospitalTehran University of Medical Sciences (TUMS)TehranIran
| | - Ifa Etesami
- Department of dermatology, Razi hospitalTehran University of Medical Sciences (TUMS)TehranIran
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3
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Abid A, Parker D, Blalock TW. Panfolliculoma in SUFU-mutated basal cell nevus syndrome. JAAD Case Rep 2023; 34:40-42. [PMID: 36936865 PMCID: PMC10018224 DOI: 10.1016/j.jdcr.2023.01.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2023] Open
Affiliation(s)
- Areeba Abid
- Emory University School of Medicine, Atlanta, Georgia
| | - Douglas Parker
- Emory University School of Medicine, Atlanta, Georgia
- Department of Dermatology, Emory University School of Medicine, Atlanta, Georgia
- Department of Pathology, Emory University School of Medicine, Atlanta, Georgia
- Winship Cancer Institute of Emory University School of Medicine, Atlanta, Georgia
| | - Travis W. Blalock
- Emory University School of Medicine, Atlanta, Georgia
- Department of Dermatology, Emory University School of Medicine, Atlanta, Georgia
- Winship Cancer Institute of Emory University School of Medicine, Atlanta, Georgia
- Correspondence to: Travis W. Blalock, MD, Emory Clinic Department of Dermatology, 1525 Clifton Road, Atlanta, GA 30322.
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Sidlow JS, Reichel M. Bulboma: A Benign Keratosis With Differentiation Toward the Lower Segment of the Hair Follicle. Am J Dermatopathol 2022; 44:503-507. [PMID: 35315371 PMCID: PMC9203036 DOI: 10.1097/dad.0000000000002173] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
ABSTRACT Bulboma is an appellation proposed to designate a distinctive solitary keratosis exhibiting differentiation toward the bulb of the lower segment of the hair follicle. Bulboma is composed of a papillated proliferation of epithelial cells beneath which is a broad front of interconnected follicular papillae. Overlying these coalescing follicular papillae are follicular germinative cells ascending into matrical cells and supramatrical cells. Cells demonstrating differentiation toward Huxley's and Henle's layer of the inner root sheath at the level of the bulb are present including strikingly bright eosinophilic trichohyalin granules and the blue-grey corneocytes of the stem. There is overlying hypergranulosis and orthokeratosis. The clinical and histopathological findings in 4 cases of bulboma, a rare, benign solitary keratosis are presented.
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Affiliation(s)
| | - Martin Reichel
- Department of Dermatology, College of Physicians and Surgeons, Columbia University, New York, NY
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Panfolliculoma: Report of the Youngest Case and Literature Review of Its Histopathologic Variants. LIFE (BASEL, SWITZERLAND) 2022; 12:life12060881. [PMID: 35743912 PMCID: PMC9225048 DOI: 10.3390/life12060881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Revised: 06/10/2022] [Accepted: 06/10/2022] [Indexed: 11/17/2022]
Abstract
Background: Panfolliculoma (PF) is a relative rare, benign follicular tumor comprised of all elements of the hair follicle, with a limited number of cases reported in the literature. Articles on the demographic and pathological analysis of this tumor are also lacking. Case presentation: In this report, we presented an unusual case of cystic PF on the back of a 14-year-old male, and we performed a thorough literature review and analysis of all previously reported cases. Conclusions: PF is a rare benign follicular neoplasm with characteristic differentiation toward all components of the hair follicle. In our analysis, PF occurred most frequently on the head region and was usually diagnosed in middle- to old-aged persons, with cystic PF being the most common histologic subtype. Since this tumor is rare and easily misdiagnosed as other tumors both clinically and pathologically, a thorough understanding of the histopathological manifestations and differential diagnosis of this tumor is necessary for both dermatologists and pathologists.
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Preston A, West C, McCollough M, Hosler GA. Melanocytic Panfolliculoma: A Case Report of a Rare Benign Follicular Tumor. Am J Dermatopathol 2022; 44:276-278. [PMID: 34966046 DOI: 10.1097/dad.0000000000002120] [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: 11/26/2022]
Abstract
ABSTRACT Panfolliculomas (PF) are rare, benign, follicular tumors that differentiate toward multiple components of the hair follicle, and several variants have been described. We present a case of a rare pigmented PF presenting on actinically damaged skin in an 83-year-old man, which was clinically concerning for malignancy. This tumor arose near an area of atypical squamous proliferation and has evidence of infundibular, outer root sheath, and matrical differentiation and foci of heavy melanin pigmentation and increased melanocytes. We propose the novel designation of "melanocytic PF," akin to melanocytic matricoma but with panfollicular differentiation.
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Affiliation(s)
- Allie Preston
- Department of Dermatology, Baylor Scott & White, Temple, TX
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7
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Pilomatrical Acanthoma: An Extremely Rare Intraepidermal Variant of Pilomatricoma. Am J Dermatopathol 2022; 44:433-436. [PMID: 35120037 DOI: 10.1097/dad.0000000000002147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
ABSTRACT Pilomatrical differentiation can be observed in a variety of benign and malignant tumors, with the most common prototype being pilomatricoma. Pilomatricoma often presents in the deep dermis or subcutis, and the sole involvement of epidermis is extremely rare. In our current case series, specimens from 5 patients were included with an average age of 68 years. All lesions presented as solitary verrucous or keratotic papules on the extremities, with 1 lesion having a prominent horn. All lesions have a variable mixture of basaloid matrical cells and shadow cells, and all lesions express β-catenin (strong nuclear and cytoplasmic), lymphoid enhancer-binding factor 1 within the matrical component, and pleckstrin homology-like domain family A member 1. The histomorphology and immunoprofile of all lesions are of pilomatrical differentiation, confined to the level of the epidermis. Based on these findings and analogous to the terminology used for other benign intraepidermal proliferations (hidroacanthoma simplex and epidermolytic acanthoma), we propose the term "pilomatrical acanthoma" for these rare lesions.
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Estrada-Castañón R, Vega-Memije ME, Cuevas-González JC, Chávez-López MDG. Panfolliculoma: A Clinical Case Report. Int J Trichology 2017; 9:187-189. [PMID: 29118526 PMCID: PMC5655630 DOI: 10.4103/ijt.ijt_43_17] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Panfolliculoma is a benign neoplasm of follicular differentiation, and its morphological characteristics are similar to those of trichoblastoma, but it shows greater follicular differentiation. A 55-year-old female patient, visited for a dermatological consultation, presented comedo-like lesions on the eyelids, which were accompanied by moderate pruritus that spread gradually. On examination, the patient had localized dermatosis on the face, which symmetrically affected both upper eyelids and to a lesser extent the lower eyelids. The lesions consisted of papulonodular neoformations, comedones, and redundant skin, and a biopsy was performed. The histopathological report mainly described the presence of atrophic epidermis and dermis that was occupied entirely by a neoplasm of epithelial strain, comprising cystic structures that were surrounded by infundibular epithelium of an internal radicular sheath. Panfolliculoma is a rare benign neoplasm of follicular differentiation, and its morphological characteristics are similar to those of trichoblastoma, the pathologist must perform the clinicopathological correlation to establish the correct diagnosis.
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Affiliation(s)
| | | | - Juan Carlos Cuevas-González
- Department of Stomatology, Institute of Biomedical Sciences, Autonomous University of Ciudad Juárez, Ciudad Juárez, Chihuahua, Mexico
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Fukuyama M, Sato Y, Yamazaki Y, Ohyama M. Immunohistochemical dissection of cystic panfolliculoma focusing on the expression of multiple hair follicle lineage markers with an insight into the pathogenesis. J Cutan Pathol 2017. [DOI: 10.1111/cup.12992] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Masahiro Fukuyama
- Department of Dermatology; Kyorin University School of Medicine; Tokyo Japan
| | - Yohei Sato
- Department of Dermatology; Kyorin University School of Medicine; Tokyo Japan
| | - Yoshimi Yamazaki
- Department of Dermatology; Kyorin University School of Medicine; Tokyo Japan
| | - Manabu Ohyama
- Department of Dermatology; Kyorin University School of Medicine; Tokyo Japan
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10
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Erythematous Nodular Lesion on the Upper Back. Am J Dermatopathol 2016; 38:857. [PMID: 27763905 DOI: 10.1097/dad.0000000000000415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Terushkin V, Meehan S, Shahabi L, Brinster N. Panfolliculoma with an endophytic architecture resembling a hair follicle: a report of three cases. J Cutan Pathol 2016; 43:1074-1076. [PMID: 27531523 DOI: 10.1111/cup.12799] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2016] [Revised: 08/07/2016] [Accepted: 08/11/2016] [Indexed: 11/27/2022]
Abstract
Panfolliculoma is a benign follicular tumor comprised of all components of the hair follicle. We report three cases of panfolliculoma with a solid, endophytic architecture, which at scanning magnification had the profile of a hair follicle. The epithelial components included uniform dark blue germinative cells, matrical cells, clear cells and cells containing trichohyaline granules. All the cases also had a central hyperkeratotic horn resembling a hair shaft. Two patients were female and one was male. Two lesions were located on the head and neck, and one was located on the leg. Clinical differential diagnoses included basal cell carcinoma, foreign body and cyst.
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Affiliation(s)
- Vitaly Terushkin
- The Ronald O. Perelman Department of Dermatology, NYU School of Medicine, New York, NY, USA.
| | - Shane Meehan
- The Ronald O. Perelman Department of Dermatology, NYU School of Medicine, New York, NY, USA
| | - Ladan Shahabi
- The Ronald O. Perelman Department of Dermatology, NYU School of Medicine, New York, NY, USA
| | - Nooshin Brinster
- The Ronald O. Perelman Department of Dermatology, NYU School of Medicine, New York, NY, USA
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Neill B, Bingham C, Braudis K, Zurowski S. A rare cutaneous adnexal neoplasm: cystic panfolliculoma. J Cutan Pathol 2016; 43:1183-1185. [PMID: 27550230 DOI: 10.1111/cup.12807] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2016] [Accepted: 08/10/2016] [Indexed: 11/28/2022]
Abstract
A cystic panfolliculoma is a benign follicular neoplasm which recapitulates several portions of the hair follicle. The patient was a 64-year-old Caucasian female who presented with a new growth on her right forearm. The lesion had slowly enlarged over the previous 11 months. She complained of it bleeding on several occasions and being very tender when touched. On exam was an 8 mm firm pink papule which appeared slightly eroded. The growth was excised in clinic. Histology showed a well-circumscribed neoplasm with foci of matrical, infundibular, inner and outer root sheath differentiation. A BerEp3 labeled focal areas of follicular germinative differentiation at the periphery of the proliferation. The lesion was narrowly excised in the available planes of section. The surgical site healed well and there are no residual symptoms from the tumor.
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Affiliation(s)
- Brett Neill
- Department of Dermatology, University of Missouri School of Medicine, Columbia, MO, USA
| | - Colby Bingham
- Department of Dermatology, University of Missouri School of Medicine, Columbia, MO, USA
| | - Kara Braudis
- Department of Dermatology, University of Missouri School of Medicine, Columbia, MO, USA
| | - Susan Zurowski
- Department of Dermatology, University of Missouri School of Medicine, Columbia, MO, USA
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López-Takegami JCH, Wolter M, Löser C, Maiweg C, Jones M, Metze D, Böer-Auer A. Classification of cysts with follicular germinative differentiation. J Cutan Pathol 2015; 43:191-9. [DOI: 10.1111/cup.12619] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2015] [Revised: 08/04/2015] [Accepted: 09/06/2015] [Indexed: 11/28/2022]
Affiliation(s)
| | - Manfred Wolter
- Department of Dermatology; Goethe University Hospital; Frankfurt Germany
| | - Christoph Löser
- Department of Dermatology; City Clinic Ludwigshafen am Rhein gGmbH; Ludwigshafen Germany
| | | | - Meriem Jones
- Department of Dermatology; Charles Nicolle Hospital; Tunis Tunisia
| | - Dieter Metze
- Department of Dermatology; Münster University; Münster Germany
| | - Almut Böer-Auer
- Department of Dermatopathology; Dermatologikum Hamburg; Hamburg Germany
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