Case for diagnosis. Phagedenic ulcer on the thorax

Abstract Paget's disease is a rare disorder of the nipple and/or the areola that is characterized by an erythematosquamous lesion and is often associated with in situ or invasive breast carcinoma. The authors present an atypical, exuberant case that had evolved over eight years, emphasizing the importance of early diagnosis.

Carcinoma basocelular, siringocistoadenoma papilífero, adenoma apócrino e triquilemoma sobre nevo sebáceo de Jadassohn / Basal cell carcinoma, papillary syringocystadenoma, apocrine adenoma and trichilemmoma on nevus sebaceous of Jadassohn

Descrito por Jadassohn e também conhecido como nevo organoide, o nevo sebáceo é considerado hamartoma que exibe má-formação folicular, sebácea, écrina e apócrina de graus variados. Durante a idade adulta, de dez a 30% dos pacientes com nevo sebáceo de Jadassohn têm risco de desenvolver neoplasia cutânea ou anexial. Relatamos caso de paciente com nevo sebáceo de Jadassohn associado a múltiplas neoplasias (benignas e malignas) de diferentes linhagens e ressaltamos a importância do conhecimento dessa entidade e do exame do couro cabeludo por parte do dermatologista.

Described by Jadassohn and also known as organoid nevus, nevus sebaceous is considered a hamartoma that exhibits follicular, sebaceous, eccrine and apocrine malformations of varying degrees. Between 10% and 30% of patients with sebaceous nevi of Jadassohn are at risk of developing cutaneous or adnexal neoplasia during adulthood. The authors describe the case of a patient with nevus sebaceous of Jadassohn associated with multiple tumors (benign and malignant) of different strains, highlighting the importance of the dermatologist physician's knowing this entity and how to perform an examination of the scalp.