Metastatic melanoma with balloon/histiocytoid cytomorphology after treatment with immunotherapy: A histologic mimic and diagnostic pitfall.

Abstract:

:Epithelioid cells with foamy cytoplasm (histiocytoid features) are typical histopathologic findings among benign and malignant histiocytic neoplasms such as xanthoma and atypical fibroxanthoma. However, these changes are unusual in melanoma, which is typically composed of nested and variably pigmented atypical epithelioid cells. Here, we report a patient with metastatic melanoma in lymph nodes presenting with prominent balloon cell/histiocytoid features expressing melanocytic markers, after treatment with nivolumab. This report suggests that the spectrum of neoplasms with histiocytoid features should be expanded to include melanoma, a pattern that, to the best of our knowledge, is uncommon, especially in the setting of post-neoadjuvant therapy.

journal_name

J Cutan Pathol

authors

Farah M,Nagarajan P,Torres-Cabala CA,Curry JL,Amaria RN,Wargo J,Tawbi H,Ivan D,Prieto VG,Tetzlaff MT,Aung PP

doi

10.1111/cup.13263

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

545-549

issue

7

eissn

0303-6987

issn

1600-0560

journal_volume

45

pub_type

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