ABSTRACT
The coiled and dotted vessels in a serpiginous arrangement or "string of pearls" is considered a classical vascular pattern associated with clear cell acanthoma. We present three cases of epidermal tumors different from clear cell acanthoma that have the same "string of pearls" vascular pattern. Even though most authors keep considering the "string of pearls" vascular pattern an almost pathognomonic sign of clear-cell acanthoma, the cases presented here suggest that some other epidermal tumors can also show this pattern.
Subject(s)
Keratosis, Seborrheic/pathology , Keratosis/pathology , Lichen Planus/pathology , Acanthoma/pathology , Aged , Dermoscopy , Diagnosis, Differential , Epidermis/pathology , Female , Humans , Male , Middle Aged , Skin Neoplasms/pathologyABSTRACT
Abstract The coiled and dotted vessels in a serpiginous arrangement or "string of pearls" is considered a classical vascular pattern associated with clear cell acanthoma. We present three cases of epidermal tumors different from clear cell acanthoma that have the same "string of pearls" vascular pattern. Even though most authors keep considering the "string of pearls" vascular pattern an almost pathognomonic sign of clear-cell acanthoma, the cases presented here suggest that some other epidermal tumors can also show this pattern.
Subject(s)
Humans , Male , Female , Middle Aged , Aged , Keratosis, Seborrheic/pathology , Keratosis/pathology , Lichen Planus/pathology , Skin Neoplasms/pathology , Acanthoma/pathology , Dermoscopy , Diagnosis, Differential , Epidermis/pathologyABSTRACT
BACKGROUND: Eccrine poroma is a benign neoplasm that can mimick a malignant neoplasm dermoscopically. The characteristic vascular pattern of this tumor has not been established. OBJECTIVE: To evaluate dermoscopic features of non-pigmented eccrine poroma in Mexican patients. METHOD: We retrospectively studied histologically proven cases of eccrine poroma from three Mexican hospitals analyzed by four dermoscopists. RESULTS: Thirteen cases were studied. A polymorphous vascular pattern was found in most cases. Four presented with irregular linear and branched vessels with semi-elliptical, or semicircular endings ("chalice-form" and "cherry-blossoms" vessels). Structureless pink-white areas were the most common other dermoscopic finding. CONCLUSIONS: "Chalice-form" and "cherry-blossom" vessels have not been reported in other benign or malignant neoplasms and can be a useful clue to the diagnosis of non-pigmented eccrine poroma. Due to the variability of dermoscopic patterns of eccrine poroma further studies are required to establish the specificity of our findings.
