Histiocyte-rich pleomorphic mastocytoma: an uncommon variant mimicking juvenile xanthogranuloma and Langerhans cell histiocytosis.

Abstract:

:An 11-year old Caucasian female with a remote history of urticaria pigmentosa presented with a neck mass. A biopsy demonstrated a large intradermal nodule composed of unusually large epithelioid mast cells, including a prominent subset with bi-lobed and multi-lobed nuclei. By immunohistochemistry, the cells expressed CD117 (C-Kit), mast cell tryptase, CD68, and CD25, and were negative for CD163, CD1a, and S-100, confirming the diagnosis of mastocytoma. Equally prominent was an admixed infiltrate of CD68 and CD163-positive xanthomatous histiocytes that included Touton-type giant cells. Eosinophils were abundant. At 7 months follow-up, there was no recurrence of the lesion following complete excision. However, given the unusual cytologic features, close clinical observation is warranted, as the long-term biologic potential of mastocytoma with this degree of cytologic atypia is uncertain. Awareness of this unusual morphologic variant is also important as the histologic features may mimic such childhood neoplasms as juvenile xanthogranuloma and Langerhans cell histiocytosis.

journal_name

J Cutan Pathol

authors

Tran DT,Jokinen CH,Argenyi ZB

doi

10.1111/j.1600-0560.2009.01257.x

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

1215-20

issue

11

eissn

0303-6987

issn

1600-0560

pii

CUP1257

journal_volume

36

pub_type

杂志文章
  • Cutaneous intestinal metaplasia: An unusual cause of peristomal complication with malignant potential.

    abstract::Peristomal ulcer with cutaneous intestinal metaplasia, defined by scattered colonic crypts within variably intact epidermis, is an exceedingly rare pathologic diagnosis, which possesses the potential to progress to primary adenocarcinoma. Herein, we report the third case of cutaneous intestinal metaplasia in a peristo...

    journal_title:Journal of cutaneous pathology

    pub_type:

    doi:10.1111/cup.13631

    authors: Tinker DG,Roberts S,Hurley MY,Missall TA

    更新日期:2020-05-01 00:00:00

  • Sarcoidosis with cutaneous perineural granulomas and neurological manifestations: A potential mimicker of leprosy.

    abstract::Sarcoidosis is a granulomatous condition with diverse clinical presentations, including neurological findings. It was previously hypothesized that perineural sarcoidal granulomas in the skin may be an explanation of small-fiber neuropathy. Herein, we present a case of a 55 year old female with anesthetic cutaneous les...

    journal_title:Journal of cutaneous pathology

    pub_type:

    doi:10.1111/cup.13660

    authors: Kazi R,Kazlouskaya V,Ho J,Karunamurthy A

    更新日期:2020-07-01 00:00:00

  • Vascular endothelial cell distribution and adhesion molecule expression in xanthoma.

    abstract:BACKGROUND:The migration of circulating monocytes into the dermis is considered to be essential for both the initiation and the progression of xanthoma. The contribution of vascular endothelial cells to the migration process is unclear. METHODS:Twenty cases of xanthelasma and six cases of tuberous xanthoma lesions wer...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0560.2006.00701.x

    authors: Matsumoto M,Kunimitsu S,Wada K,Ikeda M,Yokogawa M,Keyama A,Kodama H

    更新日期:2007-10-01 00:00:00

  • The microanatomy of the distal arrector pili: possible role for alpha1beta1 and alpha5beta1 integrins in mediating cell-cell adhesion and anchorage to the extracellular matrix.

    abstract::The arrector pili (AP) muscle is a small band of smooth muscle that attaches proximally to the bulge area of the pilosebaceous apparatus in the reticular dermis and extends up toward the epidermis. The distal anatomy of the AP and the anchorage mechanism allowing hair erection have not been previously described. Integ...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1034/j.1600-0560.2000.027002061.x

    authors: Mendelson JK,Smoller BR,Mendelson B,Horn TD

    更新日期:2000-02-01 00:00:00

  • Granulomatous lymphangitis of the scrotum and penis. Report of a case and review of the literature of genital swelling with sarcoidal granulomatous inflammation.

    abstract:BACKGROUND:Acquired lymphedema of the genitalia is a rare childhood presentation and is more common in elderly individuals secondary to pelvic/abdomenal malignancy or its therapy or worldwide due to filariasis. OBJECTIVE:Herein, we report a case of a healthy 11-year-old boy who presented with a 1-year history of chron...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章,评审

    doi:10.1034/j.1600-0560.2001.028008419.x

    authors: Murphy MJ,Kogan B,Carlson JA

    更新日期:2001-09-01 00:00:00

  • Mucocutaneous pigmented macule as a result of zinc deposition.

    abstract:BACKGROUND:Mucocutaneous depositions of various metals such as silver, lead, gold, arsenic, mercury, iron, and bismuth have been previously published. Heavy metal deposition typically occurs in the setting of either prolonged topical application to intact skin, topical application to eroded or ulcerated skin, as a resu...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1034/j.1600-0560.2002.291008.x

    authors: Greenberg JE,Lynn M,Kirsner RS,Elgart GW,Hanly AJ

    更新日期:2002-11-01 00:00:00

  • Incidental chronic lymphocytic leukaemia in a biopsy of Merkel cell carcinoma.

    abstract::Chronic lymphocytic leukaemia (CLL) shows cutaneous involvement in 2% of cases. Merkel cell carcinoma (MCC) is a rare primary cutaneous epithelial neoplasm most commonly found in sun-exposed sites in elderly male Caucasians. A 66-year-old man presented with a 2-month history of a purple painless 2 cm tumor on the scal...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0560.2008.01115.x

    authors: Craig PJ,Calonje JE,Harries M,Stefanato CM

    更新日期:2009-06-01 00:00:00

  • Expression of BMI-1 in normal skin and inflammatory and neoplastic skin lesions.

    abstract:BACKGROUND:BMI-1 is involved in the maintenance of stem cells and functions as an oncogene in both lymphomas and solid carcinomas, acting by downregulation of p16ink4a. We have investigated the expression profile of BMI-1 in normal and inflamed skin as well as in basal cell carcinomas (BCCs) and squamous cell carcinoma...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0560.2006.00587.x

    authors: Reinisch CM,Uthman A,Erovic BM,Pammer J

    更新日期:2007-02-01 00:00:00

  • Perforating elastic fibers ('elastic fiber trapping') in the differentiation of keratoacanthoma, conventional squamous cell carcinoma and pseudocarcinomatous epithelial hyperplasia.

    abstract::Keratoacanthoma (KA), an epithelial neoplasm occurring in sun-exposed skin of the elderly, is considered a well-differentiated form of conventional squamous cell carcinoma (SCC) that often follows a course of spontaneous regression. Distinguishing KA from conventional SCC or pseudocarcinomatous epithelial hyperplasia ...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1111/cup.12247

    authors: Shah K,Kazlouskaya V,Lal K,Molina D,Elston DM

    更新日期:2014-02-01 00:00:00

  • Expanding the clinicopathologic spectrum of palisaded encapsulated neuroma.

    abstract::Palisaded encapsulated neuroma (PEN; solitary circumscribed neuroma) is a benign, morphologically characteristic cutaneous or mucosal neuroma. Most are solitary lesions on the face, neck or oral mucosa. Histologically, the majority appears as dermal nodules of Schwann cell-rich fascicles, with or without distinctive e...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0560.2009.01380.x

    authors: Jokinen CH,Ragsdale BD,Argenyi ZB

    更新日期:2010-01-01 00:00:00

  • Expression of the nm23 metastasis-suppressor gene product in skin tumors.

    abstract::Nm23 is a gene with a putative metastasis-suppressor function, whose expression is inversely correlated with the metastatic potential of some solid malignancies. Because very few data exist concerning the role of nm23 in skin tumors, we studied the immunohistochemical expression of nm23 gene product in frozen sections...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0560.1997.tb01569.x

    authors: Kanitakis J,Euvrard S,Bourchany D,Faure M,Claudy A

    更新日期:1997-03-01 00:00:00

  • Outcome of facial rashes with non-specific histological features: a long-term follow-up of 64 cases.

    abstract::Facial inflammatory dermatoses can be difficult to diagnose in their early stages; skin biopsy may help but often shows indeterminate features. The aims of our study were to identify patients presenting with a facial dermatosis requiring skin biopsy, in whom the initial histological features were classified as "non-sp...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0560.1995.tb01400.x

    authors: Rhodes LE,Parslew RA,Ashworth J

    更新日期:1995-04-01 00:00:00

  • Achromic verrucous large cell acanthoma.

    abstract::Large cell acanthoma (LCA) is an epidermal neoplasm whose nature has been variously explained. Though frequently hyperpigmented, we describe for the first time an achromic case located on the dorsum of the right hand of a 83-year-old woman. This observation is largely inconsistent with one of the theories about the na...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0560.1990.tb00079.x

    authors: Ambrojo P,Aguilar A,Requena L,Sánchez Yus E

    更新日期:1990-06-01 00:00:00

  • Characterization of unmyelinated axons uniting epidermal and dermal immune cells in primate and murine skin.

    abstract::The present study was undertaken to characterize further the structure and function of cutaneous nerves which we have previously shown to associate with skin immune cells (Hosoi et al., Nature 1993: 363:159). Ultrastructurally, axons were prominent within the superficial dermis and epidermis in neonatal murine skin, b...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0560.1998.tb01685.x

    authors: Egan CL,Viglione-Schneck MJ,Walsh LJ,Green B,Trojanowski JQ,Whitaker-Menezes D,Murphy GF

    更新日期:1998-01-01 00:00:00

  • Cutaneous mucinous deposits.

    abstract::A survey of conditions with mucinous deposits is given. The most important factors for their diagnosis are to consider these disorders and to stain the slides for proteoglycans or glycosaminoglycans; the most common routine techniques are the Giemsa and the Alcian-blue stain. More sophisticated methods allow different...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0560.1985.tb01637.x

    authors: Steigleder GK,Küchmeister B

    更新日期:1985-06-01 00:00:00

  • Pigmented purpuric eruptions: immunopathologic studies supportive of a common immunophenotype.

    abstract::Traditionally, the pigmented purpuric eruptions (PPE) have been subdivided into four histologic categories, based upon variations in histologic pattern and clinical morphologies. In recent years, it has become apparent that the lesions behave similarly, and this family of eruptions has become grouped under the term PP...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0560.1991.tb01378.x

    authors: Smoller BR,Kamel OW

    更新日期:1991-12-01 00:00:00

  • Congenital agminated Spitz nevi: immunoreactivity with a melanoma-associated monoclonal antibody.

    abstract::Agminated, or grouped Spitz nevi are a curious expression of nevomelanocytic growth; and represent an uncommon manifestation of these nevi. We encountered an example of agminated Spitz nevi present at birth, which showed progression and rapid growth over months. All showed histologic Spitz nevus features. Avidin-bioti...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0560.1988.tb00537.x

    authors: Palazzo JP,Duray PH

    更新日期:1988-06-01 00:00:00

  • Acantholytic dyskeratosis of the vulva presenting with clinical features of vulval lichen sclerosus-A possible rare collision entity.

    abstract::We present a challenging case of chronic, erosive, scarring dermatosis of the vulva with clinical features of long standing lichen sclerosus (LS), namely pallor and loss of vulval architecture, but with histopathology consistently showing features of an acantholytic process. The history and clinical features of this c...

    journal_title:Journal of cutaneous pathology

    pub_type:

    doi:10.1111/cup.13560

    authors: Haddadeen C,Theaker J,Rowen D,Lotery H

    更新日期:2020-01-01 00:00:00

  • Type-I cryoglobulinemia-like histopathologic changes in tick bites: a useful clue for tissue diagnosis in the absence of tick parts.

    abstract:BACKGROUND:The histopathologic findings of localized reactions to tick bites may present as diagnostic dilemmas, especially if there is no history of a tick bite, or if the tick's mouthparts are not present in the biopsied skin. OBJECTIVE:Skin biopsies of patients with a clinical history of a tick bite were selected a...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1034/j.1600-0560.2001.290207.x

    authors: Stefanato CM,Phelps RG,Goldberg LJ,Perry AE,Bhawan J

    更新日期:2002-02-01 00:00:00

  • Juvenile elastoma (Weidman). An ultrastructural study.

    abstract::Two cases of juvenile elastoma (nevus elasticus in disseminated tumors) were histologically and ultrastructurally investigated. The predominant components of this disseminated dysembryoplasia are abnormal elastic fibers. Both cases showed numerous large elastic fibers with an abundant background matrix. The elastic mi...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0560.1981.tb01001.x

    authors: Ledoux-Corbusier M,Achten G,De Dobbeleer G

    更新日期:1981-06-01 00:00:00

  • Granulomas in acquired immunodeficiency syndrome-associated cutaneous Kaposi sarcoma: evidence for a role for Mycobacterium tuberculosis.

    abstract:BACKGROUND:Co-lesional acquired immunodeficiency syndrome-associated cutaneous Kaposi sarcoma (AIDS-KS) and Mycobacterium tuberculosis-associated granulomatous inflammation are undocumented. METHOD:Retrospective appraisal of skin biopsies with co-lesional AIDS-KS and microscopic tuberculosis (TB). RESULTS:Sixteen bio...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0560.2010.01544.x

    authors: Ramdial PK,Sing Y,Subrayan S,Calonje E,Aboobaker J,Sydney C,Sookdeo D,Ramburan A,Madiba TE

    更新日期:2010-08-01 00:00:00

  • Cytotoxic-mediated spontaneous regression of inflammatory cutaneous metastases of breast carcinoma.

    abstract::Spontaneous regression (SR) of cancer is a rare but well-documented biological phenomenon, which is even rarer in the context of metastatic breast carcinoma. Different mechanisms of SR are still under debate, including immune-mediated response. We herein report a case of the SR of intralymphatic cutaneous metastases o...

    journal_title:Journal of cutaneous pathology

    pub_type:

    doi:10.1111/cup.13694

    authors: Tomasini C

    更新日期:2020-08-01 00:00:00

  • Eosinophilic panniculitis: a clinicopathologic study.

    abstract::Study of 18 patients with biopsy diagnoses of eosinophilic panniculitis revealed diverse patterns of systemic disease, including Wells' syndrome, vasculitis, atopy, and erythema nodosum as well as localized panniculitis. Significant associated diseases included psychiatric illness, 6 (drug dependency, 4); atopy, 5 (as...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0560.1986.tb00455.x

    authors: Winkelmann RK,Frigas E

    更新日期:1986-02-01 00:00:00

  • Extraocular well-differentiated sebaceous tumors with overlying cutaneous horns: four tumors in three patients.

    abstract:BACKGROUND:Sebaceous tumors are adnexal neoplasms showing sebocytic differentiation. They range from benign to malignant and are associated with Muir-Torre syndrome (MTS). Several clinical and histopathological features associated with MTS have been described. Sebaceous tumors with an overlying cutaneous horn are extre...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1111/cup.12321

    authors: Jhuang JY,Liao SL,Tsai JH,Chang HC,Kuo KT,Liau JY

    更新日期:2014-08-01 00:00:00

  • Lipomatous apocrine mixed tumor of the skin: an unusual giant lesion occurring in the breast.

    abstract::Cutaneous mixed tumors (MTs), also known as chondroid syringomas, usually arise as small nodules in the head and neck region. We describe an unusual case of a giant MT measuring 9 cm in its greatest diameter, occurring as a slowly growing pedunculated mass on the breast of a 74-year-old woman. Although MT may rarely o...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0560.2008.01104.x

    authors: Magro G,Floridia F,Geraci G,Marino B

    更新日期:2009-06-01 00:00:00

  • The significance of eosinophils in hypertrophic lichen planus.

    abstract:BACKGROUND:Hypertrophic lichen planus (LP) is a variant of LP favoring the lower extremities and showing prominent epidermal hyperplasia and hyperorthokeratosis. Contrary to dogma that eosinophils are rare in LP and variants, we noticed that some cases of hypertrophic LP have eosinophils in the absence of drug history....

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1111/cup.12275

    authors: Alomari A,McNiff JM

    更新日期:2014-04-01 00:00:00

  • Choriocarcinoma presenting as a cutaneous metastasis.

    abstract::The rare presentation of choriocarcinoma as a cutaneous metastasis in a 23-year-old male is reported. Histological and immunohistochemical analysis of the biopsy material demonstrated two distinct cell populations, syncytiotrophoblasts and cytotrophoblasts, with syncytiotrophoblasts strongly positive for human chorion...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0560.1995.tb01423.x

    authors: Chhieng DC,Jennings TA,Slominski A,Mihm MC Jr

    更新日期:1995-08-01 00:00:00

  • Cutaneous endometriosis: diagnostic immunohistochemistry and clinicopathologic correlation.

    abstract::Endometriosis is a condition where endometrial glands and stroma are ectopically located in sites other than the uterine cavity. Cutaneous endometriosis is very rare, representing approximately 1.1% of cases of extrapelvic endometriosis. We report a case of a 44-year-old female with no prior surgical history who prese...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1111/j.1600-0560.2011.01681.x

    authors: Farooq U,Laureano AC,Miteva M,Elgart GW

    更新日期:2011-06-01 00:00:00

  • Tumor-infiltrating T cells in primary cutaneous B-cell lympho-proliferative disorders.

    abstract:BACKGROUND:Tumor-infiltrating lymphocytes (TILs) are considered to play an important role in the antitumoral immune response. The presence and percentage of CD8-positive tumor-infiltrating T cells have been shown to correlate with differentiation and prognosis in various neoplasms. The aim of this study was to determin...

    journal_title:Journal of cutaneous pathology

    pub_type: 杂志文章

    doi:10.1034/j.1600-0560.2001.028009448.x

    authors: Kamarashev J,Schaerer L,Burg G,Schmid MH,Müller B,Kempf W

    更新日期:2001-10-01 00:00:00

  • An unusual clinical presentation of myxoid dermatofibrosarcoma protuberans with a prominent vasculature: A potential pitfall in the diagnosis of myxoid soft tissue tumors.

    abstract::Dermatofibrosarcoma protuberans (DFSP) is a rare soft tissue tumor that arises primarily on the trunk and extremities but seldom on the scalp. Several variants of DFSP have been described, including myxoid DFSP. Although typical DFSP may have focally myxoid areas, myxoid DFSP, in which most of the stroma is myxoid, is...

    journal_title:Journal of cutaneous pathology

    pub_type:

    doi:10.1111/cup.13130

    authors: Tran P,Henderson GP,McLemore M

    更新日期:2018-06-01 00:00:00