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Dermatopathology, An Issue of Surgical Pathology Clinics, E-Book

Dermatopathology, An Issue of Surgical Pathology Clinics, E-Book

Thomas Brenn

(2017)

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Book Details

Abstract

This issue of Surgical Pathology Clinics, edited by Dr. Thomas Brenn, will discuss the latest updates in Dermatopathology. Topics covered in this issue include, but are not limited to EBV-related cutaneous lymphoproliferative disease; CD30-positive lymphoproliferative disorders of the skin; Spitz tumors; Atypical fibroxanthoma; Cutaneous malignant peripheral nerve sheath tumour; Sebaceous Neoplasms; Sweat gland tumors; and Cutaneous immunobullous disorders, among others.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Dermatopathology i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents v
Preface: Diagnostic Challenges in Dermatopathology v
Spitz Tumors of the Skin v
Advances in the Genetic Characterization of Cutaneous Mesenchymal Neoplasms: Implications for Tumor Classification and Nove ... v
Atypical Fibroxanthoma Revisited v
Cutaneous Malignant Peripheral Nerve Sheath Tumor v
Histopathology of Spindle Cell Vascular Tumors vi
Sebaceous Neoplasms vi
Update on Malignant Sweat Gland Tumors vi
Merkel Cell Carcinoma vi
Cutaneous Lymphomas with Cytotoxic Phenotype vii
Epstein-Barr Virus–associated Lymphoproliferative Disorders in the Skin vii
Cutaneous Pseudolymphoma vii
Histopathologic Spectrum of Connective Tissue Diseases Commonly Affecting the Skin vii
Immunofluorescence of Autoimmune Bullous Diseases viii
SURGICAL PATHOLOGY CLINICS\x0B ix
FORTHCOMING ISSUES ix
September 2017 ix
December 2017 ix
March 2018 ix
RECENT ISSUES ix
March 2017 ix
December 2016 ix
September 2016 ix
Preface:\rDiagnostic Challenges in Dermatopathology xi
Spitz Tumors of the Skin 281
ABSTRACT 281
OVERVIEW 281
SPITZ NEVUS: CLINICAL FEATURES 282
SPITZ NEVUS: HISTOLOGIC FEATURES 282
SPITZ NEVUS VARIANTS 285
MELANOCYTIC BRCA-ASSOCIATED INTRADERMAL TUMOR 288
SPITZOID MELANOMA: CLINICAL AND HISTOLOGIC FEATURES 289
SPITZ TUMORS OF UNCERTAIN MALIGNANT POTENTIAL 290
SPITZ TUMORS WITH INCOMPLETE METASTATIC POTENTIAL 291
NOVEL DIAGNOSTIC MODALITIES 295
NONMELANOCYTIC SIMULATORS OF SPITZ NEVUS AND SPITZOID MELANOMA 296
SUMMARY 296
REFERENCES 296
Advances in the Genetic Characterization of Cutaneous Mesenchymal Neoplasms 299
ABSTRACT 299
OVERVIEW 299
PSEUDOMYOGENIC HEMANGIOENDOTHELIOMA 300
EPITHELIOID HEMANGIOENDOTHELIOMA 301
HEMOSIDEROTIC FIBROLIPOMATOUS TUMOR 305
CONVENTIONAL FIBROUS HISTIOCYTOMA 306
EPITHELIOID FIBROUS HISTIOCYTOMA 306
CUTANEOUS MYOEPITHELIAL TUMORS 307
CLEAR CELL SARCOMA 309
SUMMARY 313
REFERENCES 314
Atypical Fibroxanthoma Revisited 319
ABSTRACT 319
OVERVIEW 319
CLINICAL FEATURES 320
HISTOPATHOLOGICAL FEATURES 322
IMMUNOHISTOCHEMICAL FEATURES 322
MOLECULAR FEATURES 323
DIFFERENTIAL DIAGNOSIS 324
MORPHOLOGIC VARIANTS 325
SPINDLE-CELL NONPLEOMORPHIC ATYPICAL FIBROXANTHOMA 325
CLEAR-CELL ATYPICAL FIBROXANTHOMA 328
PIGMENTED ATYPICAL FIBROXANTHOMA 329
MYXOID ATYPICAL FIBROXANTHOMA 330
OSTEOCLAST-LIKE GIANT-CELL RICH ATYPICAL FIBROXANTHOMA 331
KELOIDAL ATYPICAL FIBROXANTHOMA 332
GRANULAR CELL ATYPICAL FIBROXANTHOMA 332
PROBLEMATIC RELATIONSHIP OF ATYPICAL FIBROXANTHOMA AND PLEOMORPHIC DERMAL SARCOMA 332
REFERENCES 334
Cutaneous Malignant Peripheral Nerve Sheath Tumor 337
ABSTRACT 337
OVERVIEW 337
CUTANEOUS MALIGNANT PERIPHERAL NERVE SHEATH TUMOR 338
CUTANEOUS CONVENTIONAL MALIGNANT PERIPHERAL NERVE SHEATH TUMOR 338
Clinical Features 338
Pathologic Features 338
Immunohistochemical Features 339
Differential Diagnosis 339
CUTANEOUS EPITHELIOID MALIGNANT PERIPHERAL NERVE SHEATH TUMOR 340
Clinical Features 340
Pathologic Features 340
Immunohistochemical Features 341
Differential Diagnosis 341
REFERENCES 342
Histopathology of Spindle Cell Vascular Tumors 345
ABSTRACT 345
OVERVIEW 345
SPINDLE CELL HEMANGIOMA 345
ACQUIRED TUFTED ANGIOMA (ANGIOBLASTOMA OF NAKAGAWA) 348
KAPOSIFORM HEMANGIOENDOTHELIOMA 351
KAPOSI SARCOMA 355
ANGIOSARCOMA 360
REFERENCES 364
Sebaceous Neoplasms 367
ABSTRACT 367
OVERVIEW 367
PATHOGENESIS AND GENETIC ASPECTS OF SEBACEOUS TUMORS 367
MORPHOLOGIC CLUES AND IMMUNOHISTOCHEMICAL MARKERS OF SEBACEOUS DIFFERENTIATION 368
SEBACEOUS SKIN TUMORS AS MARKER LESIONS OF MUIR-TORRE SYNDROME I AND II 369
SEBACEOUS ADENOMA AND SEBACEOUS HYPERPLASIA 371
SEBACEOMA 373
Differential Diagnoses 374
PERIOCULAR SEBACEOUS CARCINOMA 374
Differential Diagnoses 376
EXTRAOCULAR SEBACEOUS CARCINOMA 378
Differential Diagnoses 380
SUMMARY 380
REFERENCES 380
Update on Malignant Sweat Gland Tumors 383
ABSTRACT 383
OVERVIEW 383
MICROCYSTIC ADNEXAL CARCINOMA 384
CLINICAL PRESENTATION 384
MICROSCOPIC FEATURES 384
BEHAVIOR AND TREATMENT 384
DIFFERENTIAL DIAGNOSIS 384
SQUAMOID ECCRINE DUCTAL CARCINOMA 384
CLINICAL PRESENTATION 386
MICROSCOPIC FEATURES 386
BEHAVIOR AND TREATMENT 387
DIFFERENTIAL DIAGNOSIS 387
“AGGRESSIVE” DIGITAL PAPILLARY ADENOCARCINOMA 387
CLINICAL PRESENTATION 388
MICROSCOPIC FEATURES 389
BEHAVIOR AND TREATMENT 390
DIFFERENTIAL DIAGNOSIS 390
SPIRADENOCARCINOMA AND CYLINDROCARCINOMA 390
CLINICAL PRESENTATION 390
MICROSCOPIC FEATURES 393
BEHAVIOR AND TREATMENT 393
DIFFERENTIAL DIAGNOSIS 395
REFERENCES 397
Merkel Cell Carcinoma 399
ABSTRACT 399
OVERVIEW 399
GROSS FEATURES 399
MICROSCOPIC FEATURES 400
DIFFERENTIAL DIAGNOSIS 400
BASAL CELL CARCINOMA 400
MELANOMA 400
METASTATIC NEUROENDOCRINE CARCINOMA 400
METASTATIC WELL-DIFFERENTIATED NEUROENDOCRINE TUMOR 402
EWING SARCOMA 402
LYMPHOMA 402
SEBACEOUS CARCINOMA 402
SQUAMOUS CELL CARCINOMA 402
DIAGNOSIS 402
PROGNOSIS 404
REFERENCES 406
Cutaneous Lymphomas with Cytotoxic Phenotype 409
ABSTRACT 409
OVERVIEW 409
KEY POINTS T-CELL AND NATURAL KILLER CELL SUBSETS 411
SUBCUTANEOUS PANNICULITIS-LIKE T-CELL LYMPHOMA 411
OVERVIEW 411
CLINICAL FEATURES 411
MICROSCOPIC FEATURES 411
PROGNOSIS 412
DIFFERENTIAL DIAGNOSIS 412
PRIMARY CUTANEOUS CD8+ AGGRESSIVE EPIDERMOTROPIC CYTOTOXIC T-CELL LYMPHOMAS 413
OVERVIEW 413
CLINICAL FEATURES 413
MICROSCOPIC FEATURES 413
PROGNOSIS 413
DIFFERENTIAL DIAGNOSIS 413
PRIMARY CUTANEOUS γ/δ T-CELL LYMPHOMA 415
OVERVIEW 415
CLINICAL FEATURES 415
MICROSCOPIC FEATURES 416
PROGNOSIS 417
DIFFERENTIAL DIAGNOSIS 417
PRIMARY CUTANEOUS ACRAL CD8+ T-CELL LYMPHOMA 418
OVERVIEW 418
CLINICAL FEATURES 418
HISTOLOGIC FEATURES 419
PROGNOSIS 419
DIFFERENTIAL DIAGNOSIS 420
MYCOSIS FUNGOIDES WITH CD8 PHENOTYPE 420
OVERVIEW 420
CLINICAL FEATURES 421
HISTOLOGIC FEATURES 421
PROGNOSIS 422
DIFFERENTIAL DIAGNOSIS 422
SUMMARY 423
ACKNOWLEDGMENTS 424
REFERENCES 424
Epstein-Barr Virus–associated Lymphoproliferative Disorders in the Skin 429
ABSTRACT 429
OVERVIEW 429
EPSTEIN-BARR VIRUS–ASSOCIATED B-CELL LYMPHOPROLIFERATIVE DISORDERS IN THE SKIN 430
EPSTEIN-BARR VIRUS–POSITIVE MUCOCUTANEOUS ULCER 430
LYMPHOMATOID GRANULOMATOSIS 432
EPSTEIN-BARR VIRUS–POSITIVE DIFFUSE LARGE B-CELL LYMPHOMA, NOT OTHERWISE SPECIFIED 434
DIFFERENTIAL DIAGNOSIS 436
EPSTEIN-BARR VIRUS–ASSOCIATED T-CELL/NATURAL KILLER–CELL PROLIFERATIONS ENCOUNTERED IN THE SKIN 441
HYDROA VACCINIFORME–LIKE LYMPHOPROLIFERATIVE DISORDER 441
EXTRANODAL NATURAL KILLER/T-CELL LYMPHOMA, NASAL TYPE 443
DIFFERENTIAL DIAGNOSIS 446
SUMMARY 450
REFERENCES 450
Cutaneous Pseudolymphoma 455
ABSTRACT 455
OVERVIEW 455
DEFINITION 455
CLASSIFICATION 455
DIAGNOSTIC APPROACH 456
CLINICAL COURSE AND TREATMENT 456
NODULAR PSEUDOLYMPHOMA 456
CUTANEOUS B-CELL PSEUDOLYMPHOMA 457
Clinical Findings 457
Histology 457
Immunohistochemistry and Molecular Diagnostics 457
Differential Diagnoses 458
BORRELIA-ASSOCIATED B-CELL PSEUDOLYMPHOMA 459
Clinical Findings 459
Histology 459
Immunohistochemistry and Molecular Diagnostics 459
Laboratory Tests 460
PSEUDOLYMPHOMA T-CELL AND MIXED PSEUDOLYMPHOMA 460
Clinical Findings 460
Histology 460
Immunohistochemistry and Molecular Diagnostics 461
Differential Diagnosis 461
CD30+ T-CELL PSEUDOLYMPHOMA 462
PSEUDO-MYCOSIS FUNGOIDES—HISTOLOGIC SIMULATORS OF MYCOSIS FUNGOIDES 462
HISTOLOGY 462
IMMUNOHISTOCHEMISTRY 462
DIFFERENTIAL DIAGNOSES 463
Lymphomatoid Contact Dermatitis 463
Lymphomatoid Drug Reaction 463
Actinic Reticuloid 463
CD8+ T-Cell Pseudolymphoma in Immunodeficiency 466
Borrelia-Associated T-Cell Pseudolymphoma 467
Papuloerythroderma Ofuji 468
Lymphocytic Infiltration of the Skin and Palpable Arciforme Migratory Erythema 468
Infections as Simulators of Lymphomas 469
Inflammatory Disorders as Simulators of T-Cell Lymphoma 470
OTHER PSEUDOLYMPHOMA (ALPHABETICAL ORDER) 470
ACRAL PSEUDOLYMPHOMATOUS ANGIOKERATOMA 470
ANGIOLYMPHOID HYPERPLASIA WITH EOSINOPHILIA 470
CUTANEOUS PLASMOCYTOSIS 471
LYMPHOPLASMACYTIC PLAQUE 471
Pseudolymphomatous Folliculitis 472
INTRAVASCULAR PSEUDOLYMPHOMA 472
REFERENCES 473
Histopathologic Spectrum of Connective Tissue Diseases Commonly Affecting the Skin 477
ABSTRACT 477
OVERVIEW 477
LUPUS ERYTHEMATOSUS 478
CLINICAL FEATURES 478
MICROSCOPIC FEATURES 478
HISTOLOGIC PATTERNS SEEN IN LUPUS ERYTHEMATOSUS 478
INTERFACE DERMATITIS 478
PANNICULITIS 480
THROMBOTIC VASCULOPATHY 481
VASCULITIS 483
NEUTROPHILIC DERMATOSIS 484
DIFFERENTIAL DIAGNOSIS 487
INTERFACE DERMATITIS 487
PANNICULITIS 488
THROMBOTIC VASCULOPATHY 490
VASCULITIS 492
NEUTROPHILIC DERMATOSIS 493
DIAGNOSIS 495
PROGNOSIS 495
DERMATOMYOSITIS 496
CLINICAL FEATURES 496
MICROSCOPIC FEATURES 496
HISTOLOGIC PATTERNS SEEN IN DERMATOMYOSITIS 496
Immunofluorescence of Autoimmune Bullous Diseases 505
ABSTRACT 505
OVERVIEW 505
DIRECT VERSUS INDIRECT IMMUNOFLUORESCENCE 506
PEMPHIGUS 506
PEMPHIGOID 508
SUMMARY 510
REFERENCES 511