 |
|
Nodule on the Shoulder of a Young Woman
Simone Laube, MD,MRCP;
Adam M. Boyde, MBBS,BSc;
Richard J. Motley, MA,MD,MRCP
University Hospital of Wales, Cardiff
Arch Dermatol. 2002;138:1509-1514.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
REPORT OF A CASE
A 36-year-old white woman presented with a 5-month history of an irritating lesion on her left shoulder. A crusted scab had arisen and fallen off, leaving her with a 1.5-cm, smooth, tender, intradermal nodule with no obvious surface abnormality (Figure 1).
| |
Figure 1.
|
|
The differential diagnosis included a keloid scar, adnexal tumor, and amelanotic melanoma. A biopsy specimen from the center of the lesion was obtained for histologic (Figure 2) and immunohistochemical staining with  -smooth muscle actin (Figure 3). The nodule remained exquisitely tender, and a complete excision was performed.
| |
Figure 2.
|
|
| |
Figure 3.
|
|
What is your diagnosis?
Diagnosis: Dermatomyofibroma.
Histopathologic examination showed a well-circumscribed area located within the reticular dermis and composed of monomorphic spindle cells in intersecting fascicles that were aligned parallel to the epidermis. The spindle-shaped cells had plump nuclei and prominent . . . [Full Text of this Article]
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
|
