1
|
Kälber KA, Winkler JK, Toberer F, Wardelmann E, Hartschuh W. Tumor on the left upper arm of a young woman. J Dtsch Dermatol Ges 2024; 22:295-299. [PMID: 38169148 DOI: 10.1111/ddg.15307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Accepted: 10/10/2023] [Indexed: 01/05/2024]
Affiliation(s)
| | | | - Ferdinand Toberer
- Universitäts-Hautklinik Heidelberg, Ruprecht-Karls Universität Heidelberg
| | - Eva Wardelmann
- Universitätsklinikum Münster, Gerhard-Domagk-Institut für Pathologie, Münster
| | - Wolfgang Hartschuh
- Universitäts-Hautklinik Heidelberg, Ruprecht-Karls Universität Heidelberg
- Hautarztpraxis Durani, Heidelberg
| |
Collapse
|
2
|
Kälber KA, Winkler JK, Toberer F, Wardelmann E, Hartschuh W. Tumor am linken Oberarm einer jungen Frau: Tumor on the left upper arm of a young woman. J Dtsch Dermatol Ges 2024; 22:295-299. [PMID: 38361204 DOI: 10.1111/ddg.15307_g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Accepted: 10/10/2023] [Indexed: 02/17/2024]
Affiliation(s)
| | | | - Ferdinand Toberer
- Universitäts-Hautklinik Heidelberg, Ruprecht-Karls Universität Heidelberg
| | - Eva Wardelmann
- Universitätsklinikum Münster, Gerhard-Domagk-Institut für Pathologie, Münster
| | - Wolfgang Hartschuh
- Universitäts-Hautklinik Heidelberg, Ruprecht-Karls Universität Heidelberg
- Hautarztpraxis Durani, Heidelberg
| |
Collapse
|
3
|
Mankertz F, Keßler R, Rau A, Seebauer C, Ribback S, Busemann A. Pulmonary Metastasising Aneurysmal Fibrous Histiocytoma: A Case Report, Literature Review and Proposal of Standardised Diagnostic Criteria. Diseases 2023; 11:108. [PMID: 37754304 PMCID: PMC10530133 DOI: 10.3390/diseases11030108] [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: 07/23/2023] [Revised: 08/17/2023] [Accepted: 08/21/2023] [Indexed: 09/28/2023] Open
Abstract
An aneurysmal fibrous histiocytoma is a rare cutaneous soft-tissue tumour which accounts for approximately 0.06% of all dermatopathologies. Metastasis is exceedingly uncommon, to the point that there have only been eight reported cases in the scientific literature. We present the case of a 25-year-old male with a primary aneurysmal fibrous histiocytoma located in the nuchal region which exhibited rapid growth and abrupt ulceration over a short time span and showed signs of locoregional aggressive infiltration. A subsequent histopathological analysis confirmed the presence of diffuse solid and cystic pulmonary metastases. Further genetic sequencing verified LAMTOR1-PRKCD fusion. This case report seeks to review the existing literature on aneurysmal fibrous histiocytoma, discuss the challenges of differential diagnosis and propose standardised diagnostic criteria.
Collapse
Affiliation(s)
- Fiona Mankertz
- Institute for Diagnostic Radiology and Neuroradiology, University Medicine Greifswald, Ferdinand-Sauerbruch-Str., 17475 Greifswald, Germany
| | - Rebecca Keßler
- Institute for Diagnostic Radiology and Neuroradiology, University Medicine Greifswald, Ferdinand-Sauerbruch-Str., 17475 Greifswald, Germany
| | - Andrea Rau
- Department of Oral and Maxillofacial Surgery/Plastic Operations, University Medicine Greifswald, Ferdinand-Sauerbruch-Str., 17475 Greifswald, Germany
| | - Christian Seebauer
- Department of Oral and Maxillofacial Surgery/Plastic Operations, University Medicine Greifswald, Ferdinand-Sauerbruch-Str., 17475 Greifswald, Germany
| | - Silvia Ribback
- Institute of Pathology, University Medicine Greifswald, Friedrich-Loeffler-Straße 23e, 17475 Greifswald, Germany
| | - Alexandra Busemann
- Department of General, Visceral, Thoracic and Vascular Surgery, University Medicine Greifswald, Ferdinand-Sauerbruch-Str., 17475 Greifswald, Germany
| |
Collapse
|
4
|
Katina MA, Lesnichaya OV, Ryazanova NV. Dermatofibrosarcoma protuberans in dermatological practice. Case report. CONSILIUM MEDICUM 2022. [DOI: 10.26442/20751753.2022.8.201721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Dermatofibrosarcoma protuberans (DFSP) is a mesenchymal neoplasm of fibrohistiocytic origin of moderate malignancy. The pathogenesis of DFSP involves chromosomal translocation, which leads to the formation of a fusion protein that promotes tumor growth due to increased production of platelet growth factor (PDGF). Clinically, it begins with an asymptomatic fibrous papule or firm plaques, which gradually over the course of several years become enlarged with the formation of asymmetrical multi-nodular structure of purple or red-brown color. The standards of diagnosis is a histological examination with the detection of a poor limited infiltrate indermis of a storiform architecture consisting of monomorphic spindle cells and diffuse CD34+ staining during immunohistochemistry. Complete surgical excision is considered the gold standard of treatment. Clinical case: female patient, 35 years old with a lesion in the form of a dense plaque in right subclavian area was examined by a dermatologist. The primary diagnosis was made as "morphea". In a year a slight growth of the lesion and the appearance of small firm nodules asymmetrically along the periphery were noted. According to the results of histological and immunohistochemistry studies the diagnosis of DFSP was made, the patient was referred to an oncologist for complete tumor removal.
Collapse
|
5
|
Demiri E, Georgiadou E, Goula OC, Tzorakoeleftheraki SE, Karagergou E, Hytiroglou P. A rare case of congenital plexiform fibrohistiocytic tumor of the foot in a 4-year-old boy: case report and literature review. CASE REPORTS IN PLASTIC SURGERY AND HAND SURGERY 2021; 8:164-168. [PMID: 34621916 PMCID: PMC8491708 DOI: 10.1080/23320885.2021.1986049] [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] [Indexed: 10/31/2022]
Abstract
The plexiform fibrohistiocytic tumor (PFHT) is an infrequent soft-tissue neoplasm with uncertain biological behavior. We report a rare congenital PFHT case in a 4-year-old boy, treated with wide excision and skin grafting. After a 52-month follow-up, no recurrence, regional or distant metastases were documented. A literature review on the management of PFHTs is reported.
Collapse
Affiliation(s)
- Efterpi Demiri
- Department of Plastic Surgery, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Papageorgiou Hospital, Periferiaki Odos Neas Efkarpias, Thessaloniki, Greece
| | - Eleni Georgiadou
- Department of Plastic Surgery, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Papageorgiou Hospital, Periferiaki Odos Neas Efkarpias, Thessaloniki, Greece
| | - Olga-Christina Goula
- Department of Plastic Surgery, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Papageorgiou Hospital, Periferiaki Odos Neas Efkarpias, Thessaloniki, Greece
| | - Sofia-Eleni Tzorakoeleftheraki
- Department of Pathology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Eleni Karagergou
- Department of Plastic Surgery, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Papageorgiou Hospital, Periferiaki Odos Neas Efkarpias, Thessaloniki, Greece
| | - Prodromos Hytiroglou
- Department of Pathology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
| |
Collapse
|
6
|
Wollina U, Schönlebe J. Dermatomyofibroma-A rare mesenchymal tumor with maintained horripilation. Dermatol Ther 2019; 32:e12967. [PMID: 31090131 DOI: 10.1111/dth.12967] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2019] [Accepted: 05/10/2019] [Indexed: 12/24/2022]
Abstract
Dermatomyofibroma is a rare mesenchymal tumor of skin. The major differential diagnosis is dermatofibrosarcoma protuberans. Both lesions are composed of spindle-shaped cells which are CD34-positive. In contrast to the malignant counterpart, the tumor cells in dermatomyofibroma are without any evidence of COL1A1-PDGFB gene rearrangement. We present a case of axillary dermatomyofibroma in a 31-year-old woman. A hitherto undescribed clinical phenomenon is a maintained horripilation in contrast to dermatofibrosarcoma protuberans.
Collapse
Affiliation(s)
- Uwe Wollina
- Department of Dermatology and Allergology, Academic Teaching Hospital Dresden, Dresden, Germany
| | - Jacqueline Schönlebe
- Institute of Pathology "Georg Schmorl", Academic Teaching Hospital Dresden, Dresden, Germany
| |
Collapse
|
7
|
Abstract
RATIONALE Deep benign fibrous histiocytoma (BFH) is relatively rare in contrast to superficial BFH involving the skin. Moreover, it was extremely rare for deep BFH occurring in the solid organ. To our knowledge, so far, only one case of deep BFH of the kidney was reported in English literature. PATIENT CONCERNS Herein, we report another case of deep BFH located in the kidney in a 88-year-old female. She was referred to our hospital for a severe pain in the right upper abdomen. Computed tomography revealed a round low-density shadow measuring 6 cm in the kidney. DIAGNOSIS The lesion was diagnosed as a deep BFH of the kidney, as the tumor was histologically predominately composed of bland ovoid cells arranged in a storiform pattern. INTERVENTION The patient underwent the total resection of the right kidney with the tumor in our hospital. OUTCOMES The postoperative course was uneventful. The patient was alive with no tumor recurrence or metastasis within 6 months of follow-up. LESSONS We present another case of deep BFH of the kidney. Because of the rarity, the tumor may be poorly recognized. The typical storiform pattern in histology may be helpful for diagnosis. This report serves to remind that deep BFH is also a differential diagnosis for a tumor with storiform pattern in the kidney.
Collapse
|
8
|
Hellmich L. [31/f with livid erythematous papules and nodules : Preparation for the specialist examination: part 6]. Hautarzt 2018; 69:100-104. [PMID: 30374538 DOI: 10.1007/s00105-018-4240-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Luisa Hellmich
- Klinik und Poliklinik für Dermatologie und Venerologie, Universität zu Köln, Kerpener Str. 62, 50937, Köln, Deutschland.
| |
Collapse
|
9
|
Serin M, Leblebici C, Aksu EK, Kurt Yazar S. Aneurysmal fibrous histiocytoma. BMJ Case Rep 2018; 2018:bcr-2018-225198. [PMID: 30108116 DOI: 10.1136/bcr-2018-225198] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Aneurysmal fibrous histiocytoma (AFH) is a type of fibrohistiocytic tumour. We present a case of a patient who presented with a skin papule on the thigh region. Histopathological examination following total excision of the lesion revealed an AFH. No sign of recurrence was present 6 months after surgery.
Collapse
Affiliation(s)
- Merdan Serin
- Plastic Surgery, Istanbul Training and Research Hospital, Istanbul, Turkey
| | - Cem Leblebici
- Pathology, Istanbul Training and Research Hospital, Istanbul, Turkey
| | - Esra Koku Aksu
- Dermatology, Istanbul Training and Research Hospital, Istanbul, Turkey
| | - Sevgi Kurt Yazar
- Plastic Surgery, Istanbul Training and Research Hospital, Istanbul, Turkey
| |
Collapse
|
10
|
Rajabi-Estarabadi A, Iglesia S, Griggs JW, Gurnani P, Smith SC, Collins CI, Nouri K. Cells to Surgery Quiz: April 2018. J Invest Dermatol 2018; 138:e37. [PMID: 29579460 DOI: 10.1016/j.jid.2018.02.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- Ali Rajabi-Estarabadi
- Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Sofia Iglesia
- Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Jacob W Griggs
- Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Pooja Gurnani
- Florida International University Herbert Wertheim College of Medicine, Miami, Florida, USA
| | - Samuel C Smith
- Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Cassandra If Collins
- Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Keyvan Nouri
- Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
| |
Collapse
|
11
|
Barroso DH, Leite CPZ, Araujo GDDS, Teixeira MAG, Alencar ERB, Cavalcanti SMDM. Dermatofibroma simulating seborrheic keratosis dermoscopically. An Bras Dermatol 2017; 91:354-6. [PMID: 27438205 PMCID: PMC4938282 DOI: 10.1590/abd1806-4841.20164031] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2014] [Accepted: 11/25/2014] [Indexed: 11/21/2022] Open
Abstract
Dermatofibroma is a frequent benign tumor of easy clinical diagnosis in most
cases, but that can mimic other dermatoses. Dermoscopy may help to define the
diagnosis and its classical pattern is a central white area, similar to a scar,
surrounded by a discrete pigment network. However, dermoscopic findings are not
always typical. We describe here a case of dermatofibroma exhibiting ridges,
furrows and pseudocomedos, a pattern which is typical of seborrheic keratosis,
in dermoscopy.
Collapse
|
12
|
Campagnolo OA, Morais CFD, Ughini MO, Aoki CM, Menegazzo M. Dermatomyofibroma. An Bras Dermatol 2017; 92:101-103. [PMID: 28225965 PMCID: PMC5312187 DOI: 10.1590/abd1806-4841.20175189] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2015] [Accepted: 01/11/2016] [Indexed: 11/24/2022] Open
Abstract
We report a case of dermatomyofibroma that, to our knowledge, is the second case
reported in Brazil. About 100 cases have been reported worldwide.
Dermatomyofibroma represents a rare, benign mesenchymal neoplasm of
fibroblastic/myofibroblastic differentiation, with prolonged evolution and
little or no symptoms. It most commonly occurs in young women and male children.
Dermatomyofibroma can be easily confused with other clinical entities, which
could lead to unnecessary treatments. Therefore, it is important that
dermatologists and pediatricians suspect and start to consider this hypothesis
in their diagnostic exercises.
Collapse
Affiliation(s)
- Orley Alvaro Campagnolo
- Dermatology Departament of Centro Universitário da Fundação Assis Gurgacz (FAG) - Cascavel (PR), Brazil
| | | | - Marina Ochoa Ughini
- Students on the Medicine Course at the Centro Universitário da Fundação Assis Gurgacz (FAG) - Cascavel (PR), Brazil
| | - Camile Mayumi Aoki
- Students on the Medicine Course at the Centro Universitário da Fundação Assis Gurgacz (FAG) - Cascavel (PR), Brazil
| | - Marília Menegazzo
- Students on the Medicine Course at the Centro Universitário da Fundação Assis Gurgacz (FAG) - Cascavel (PR), Brazil
| |
Collapse
|
13
|
Aigner B, Ugurel S, Kaddu S, Becker JC. [Cutaneous sarcomas: update on selected fibrohistiocytic and myofibroblastic tumors]. DER HAUTARZT 2014; 65:614-22. [PMID: 24924954 DOI: 10.1007/s00105-013-2738-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
BACKGROUND Malignant fibrohistiocytic tumors are a heterogeneous group of mesenchymal neoplasms that may occur in the skin and subcutaneous tissues. DIAGNOSIS Diagnosis of these tumors may be difficult, as they are rare, and a wide morphological diversity of types and subtypes has been described. In this update, relevant aspects of selected entities like dermatofibrosarcoma protuberans, desmoid tumor, atypical fibroxanthoma, pleomorphic dermal sarcoma, and myxofibrosarcoma are discussed according to the WHO classification of 2013. The typical clinical feature of these tumors is their mostly asymptomatic appearance. For diagnosis, the histologic workup is therefore the key feature; herein immunohistochemistry as well as molecular diagnostics become increasingly important. THERAPY The primary treatment for locally resectable tumors is complete surgical removal; chemotherapy, radiation, and targeted therapies with kinase inhibitors are available for inoperable and metastatic disease.
Collapse
Affiliation(s)
- B Aigner
- Allgemeine Dermatologie, Medizinische Universität Graz, Auenbruggerplatz 8, 8036, Graz, Österreich
| | | | | | | |
Collapse
|
14
|
de Cambourg G, Cribier B. [Fibrous papules of the face: a retrospective anatomoclinical study of 283 cases]. Ann Dermatol Venereol 2013; 140:763-70. [PMID: 24315221 DOI: 10.1016/j.annder.2013.09.163] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2013] [Revised: 06/20/2013] [Accepted: 09/05/2013] [Indexed: 11/29/2022]
Abstract
BACKGROUND Fibrous papules of the face are frequent benign lesions seen in the nasal and perinasal region. Their clinical aspect is indistinct and the histological signs are sometimes mild or possibly misleading in the case of atypical forms. We carried out a retrospective study of 283 fibrous papules diagnosed at our histology laboratory. The goal of this study was to characterize this type of frequent but occasionally unrecognized lesion. PATIENTS AND METHODS We performed a retrospective study of fibrous papules of the face diagnosed in the dermatopathology laboratory of our dermatology centre between January 2002 and December 2011. The study concerned the clinical information noted in the examination request and the morphological abnormalities seen at optical microscopy. An immunohistological study of factor XIIIa was performed in selected cases. RESULTS The fibrous papules of the face came from 129 men and 154 women aged between 18 and 90 years (mean: 46 years). Two hundred and thirty-seven (83.7%) lesions were taken from the nasal region and none were taken from anywhere other than the face. The clinically mentioned diagnoses varied. A diagnosis of fibrous papule of the face was stated in 42% of cases, and the main differential diagnoses were nevus (stated in 34% of cases) and basal cell carcinoma (stated in 14% of cases). The fibrous papules were classic in 85.5% of cases. We observed 6 variants of fibrous papule: hypercellular, inflammatory, pleomorphic, pigmented, clear-cell and granular-cell types. Immunohistochemistry of factor XIIIa was positive in all cases except clear-cell fibrous papules. DISCUSSION This study shows that despite their frequency, these lesions often go unrecognized, since the hypothesis of a fibrous papule of the face was mentioned in fewer than 50% of cases at the time of biopsy. Diagnosis is often made by the histopathologist, who may be misled by some rare types. The principal differential diagnoses are nevus and basal cell carcinoma, thus warranting methodical histological analysis of all pieces.
Collapse
Affiliation(s)
- G de Cambourg
- Service de dermatologie, hôpital civil, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France.
| | | |
Collapse
|
15
|
Kideryová L, Lacina L, Dvoránková B, Stork J, Cada Z, Szabo P, André S, Kaltner H, Gabius HJ, Smetana K. Phenotypic characterization of human keratinocytes in coculture reveals differential effects of fibroblasts from benign fibrous histiocytoma (dermatofibroma) as compared to cells from its malignant form and to normal fibroblasts. J Dermatol Sci 2009; 55:18-26. [PMID: 19414239 DOI: 10.1016/j.jdermsci.2009.03.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2009] [Revised: 03/16/2009] [Accepted: 03/18/2009] [Indexed: 11/15/2022]
Abstract
BACKGROUND Benign and malignant fibrous histiocytoma present with a considerable difference concerning cellular organization in their vicinity. OBJECTIVE Normally appearing epithelium covers the malignant form in contrast to hyperplastic epidermis for benign tumors. It is an open question as to whether the tumor-associated fibroblasts are capable to affect phenotypic features of normal keratinocytes, prompting this comparative analysis. METHODS Fibroblasts were isolated from benign and malignant fibrous histiocytomas, respectively, and also from normal dermis. The resulting cell populations were thoroughly characterized immunocytochemically using a large panel of antibodies. The three fibroblast preparations were cocultured with normal interfollicular keratinocytes. Their phenotype was characterized for distinct properties including differentiation and proliferation. RESULTS Fibroblasts prepared from both tumor types were phenotypically practically identical with normal dermal fibroblasts. Their activities on keratinocytes were different. Cells prepared from benign fibrous histiocytoma were capable to effect strong expression of keratin 19 and production of a galectin-1-rich extracellular matrix. Fibroblasts isolated from malignant fibrous histiocytoma led to a phenotype very similar to that when keratinocytes were cocultured with normal dermal fibroblasts. CONCLUSION Fibroblasts prepared from benign fibrous histiocytoma were biologically active on keratinocytes in a particular manner. Our results on fibroblast activity are suggested to be relevant for morphologic differences observed in vivo between normal epidermis and epidermis adjacent to the studied tumor types.
Collapse
Affiliation(s)
- L Kideryová
- Charles University in Prague, 1st Faculty of Medicine, 1st Department of Internal Medicine, Prague, Czech Republic
| | | | | | | | | | | | | | | | | | | |
Collapse
|
16
|
Abstract
Almost the complete spectrum of skin tumours can occur within the facial area, ranging from benign tumours of infancy to typical malignancies of old age. This spectrum is quiet heterogeneous and comprises every cell type within the skin as a possible origin for tumour growth. Among these are cells derived from the epidermis; adnexal structures; connective, fatty, and vascular tissue; muscle; nerves; melanocytes; and skin-infiltrating inflammatory cells. Due to this diversity, a correct assessment of the clinical findings compared with a histopathologic appraisal in cases of uncertainty is mandatory in order to recommend appropriate therapy. The present overview aims to summarise the basics of the most frequent and most important skin tumours occurring on the face.
Collapse
Affiliation(s)
- M Braun-Falco
- Klinik und Poliklinik für Dermatologie und Allergologie der Ludwig-Maximilians-Universität, München.
| |
Collapse
|