Case Report: Diagnosis of a Rare Plaque-Like Dermal Fibroma Successfully Treated With Mohs Surgery
| Autor: | Pavandeep Gill, John P. Arlette, Carolyn J Shiau, Marie S Abi Daoud |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Pathology Skin Neoplasms medicine.medical_treatment Biopsy CD34 Dermatology Diagnosis Differential 030207 dermatology & venereal diseases 03 medical and health sciences Plaque-like 0302 clinical medicine Mohs surgery medicine Dermatofibrosarcoma protuberans Humans Benign Dermal Neoplasm Aged business.industry Foot Dermatofibrosarcoma Dermal Fibroma medicine.disease Mohs Surgery 030220 oncology & carcinogenesis Surgery Differential diagnosis business |
| Zdroj: | Journal of cutaneous medicine and surgery. 22(1) |
| ISSN: | 1615-7109 |
| Popis: | Background: CD34-positive plaque-like dermal fibroma (PDF) is a poorly characterised benign dermal neoplasm that has a wide differential diagnosis. It can be mistaken for other entities on superficial biopsy and be overtreated, leading to unnecessary worry and extensive surgery. Objective: To report on an uncommon presentation of this entity, the histopathologic differential diagnosis of PDF, and a novel treatment method. Methods: Clinical and histopathological information was obtained for a PDF lesion on a 75-year-old man. Results: On superficial biopsy, the PDF lesion was misinterpreted as a possible neurothekeoma. Successful Mohs surgery and genetic testing confirmed the diagnosis of PDF, and the patient received appropriate tissue-sparing surgical management. Conclusion: This case adds to our current knowledge about PDF and highlights the importance of early recognition of these lesions to direct appropriate diagnostic testing (full-thickness biopsy) and management. This case confirms successful management with Mohs surgery. |
| Databáze: | OpenAIRE |
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