Pleomorphic spindle cell dermal neoplasm with dot-like keratin reactivity: keratin-positive AFX or carcinoma?

Abstract:

:Atypical fibroxanthoma (AFX) is an uncommon cutaneous neoplasm of pleomorphic myofibroblast-like cells. Diagnosis requires exclusion of other undifferentiated spindle and pleomorphic cell neoplasms by immunohistochemistry. We report two patients with p63-non-reactive spindle cell neoplasms which resembled AFX but demonstrated anomalous dot-like immunolabeling with antibodies to high molecular weight keratin and keratin 5. One case recurred locally, suggesting such lesions may behave aggressively. Whether these lesions represent keratin-positive dermal sarcomas or poorly differentiated carcinomas is debatable. Regardless of exact classification, our experience suggests such cases should be managed as high-risk non-melanoma skin cancers.

journal_name

J Cutan Pathol

authors

Ellis R,Chase E,Barland A,Rajpara A,Fraga GR

doi

10.1111/cup.12548

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

847-52

issue

11

eissn

0303-6987

issn

1600-0560

journal_volume

42

pub_type

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