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Corbalán-Vélez R, Ruiz-Macia JA, Brufau C, Oviedo-Ramírez I, Martínez-Barba E, López-Lozano JM, Carapeto FJ. [Solar elastosis in cutaneous squamous cell carcinoma]. Actas Dermosifiliogr 2011; 101:517-23. [PMID: 20738970 DOI: 10.1016/s1578-2190(10)70836-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
INTRODUCTION Solar elastosis, or basophilic degeneration of collagen, may be a histologic sign of chronic sun damage. MATERIAL AND METHODS We reviewed 222 cases of squamous cell carcinoma (SCC) to identify the presence of solar elastosis and its possible invasion of the upper, middle, or deep reticular dermis. We also analyzed clinical variables such as SCC location, location in exposed areas of the skin, age, sex, and immunosuppression. Patients included had undergone surgical excision of an SCC. RESULTS Severe solar elastosis was found in most cases (182 patients, 82%): 87 extended to the middle reticular dermis and 95 had reached the deep reticular dermis. Only 6 (2.7%) patients had no solar elastosis. In some cases elastosis was so severe that it had affected the subcutaneous cellular tissue or venous or arteriolar walls. Deeper solar elastosis was significantly associated with older age and female sex. CONCLUSIONS Solar elastosis was found in most patients with SCC and seems to indicate chronic severe solar damage. Exposure to ultraviolet radiation would be the main cause of SCC, although other factors might also be implicated, particularly in patients who did not have severe solar elastosis. Systemic or localized immunosuppression was associated with nearly all the SCC cases studied, consistent with the marked immunosuppressant effects of sun exposure, the aging process, or both.
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Affiliation(s)
- R Corbalán-Vélez
- Servicio Dermatología, Hospital Universitario Virgen de la Arrixaca, Murcia, España.
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Corbalán-Vélez R, Ruiz-Macia J, Brufau C, Oviedo-Ramírez I, Martínez-Barba E, López-Lozano J, Carapeto F. Elastosis solar en carcinomas espinocelulares cutáneos. Actas Dermo-Sifiliográficas 2010. [DOI: 10.1016/j.ad.2010.01.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Corbalán-Vélez R, Ruiz-Macia JA, Brufau C, López-Lozano JM, Martínez-Barba E, Carapeto FJ. [Clear cells in cutaneous squamous cell carcinoma]. Actas Dermosifiliogr 2009; 100:307-316. [PMID: 19463234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
Abstract
INTRODUCTION Although few cases of squamous cell carcinoma (SCC) with clear cells have been published, we believe that these cells are often present in SCC. MATERIAL AND METHODS We studied 249 SCCs, analyzing a number of clinical and histological variables. Various immunohistochemical techniques (immunoperoxidase method) were used to determine whether adnexal differentiation was present. RESULTS There were 96 SCCs with a proportion of clear cells of over 25 %. Advanced or established SCCs and SCCs associated with Bowen disease contained a larger proportion of clear cells. We defined 2 histological patterns: a) clear cells around the keratin pearls of SCCs arising from pre-existing actinic keratosis and with indirect signs of human papilloma virus infection in hair follicles; and b) clear cells that simulate adnexal differentiation in lesions arising on pre-existing Bowen disease lesions. There were also 19 carcinomas with true adnexal differentiation. DISCUSSION Clear cells are frequently observed in SCC, though large numbers of clear cells are present only in certain SCCs. The appearance of clear cells in SCCs is progressive and they are only present in more advanced SCC. The presence of clear cells is suggestive of adnexal differentiation; however, in the majority of cases, their presence is due to infiltration of normal adnexal structures by the cells of pagetoid Bowen disease. True adnexal differentiation exists only in a small percentage of cases (7.6 % in our study). The histological pattern described as clear cells around keratin pearls practically rules out this differentiation.
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Affiliation(s)
- R Corbalán-Vélez
- Servicio de Dermatología, Hospital Universitario Virgen de la Arrixaca, Murcia, España.
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Corbalán-Vélez R, Ruiz-Macia J, Brufau C, López-Lozano J, Martínez-Barba E, Carapeto F. Clear Cells in Cutaneous Squamous Cell Carcinoma. Actas Dermo-Sifiliográficas (English Edition) 2009. [DOI: 10.1016/s1578-2190(09)70068-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Corbalán-Vélez R, Ruiz-Macia J, Brufau C, López-Lozano J, Martínez-Barba E, Carapeto F. Las células claras en el carcinoma espinocelular cutáneo. Actas Dermo-Sifiliográficas 2009. [DOI: 10.1016/s0001-7310(09)70825-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Carrascosa JM, Vanaclocha F, Borrego L, Fernández-López E, Fuertes A, Rodríguez-Fernández-Freire L, Zulaica A, Tuneu A, Caballé G, Colomé E, Bordas X, Hernanz JM, Brufau C, Herrera E. [Update of the topical treatment of psoriasis]. Actas Dermosifiliogr 2009; 100:190-200. [PMID: 19457304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
Abstract
Topical therapy continues to be one of the pillars of psoriasis management. Topical corticosteroids and vitamin D analogs are the drugs of choice during the induction phase, and vitamin D analogs continue to be drugs of choice for maintenance therapy. Tazarotene and dithranol are suitable options in patients with certain, specific characteristics. The calcineurin inhibitors can be considered to be second-line treatment for psoriasis of the face and flexures. The efficacy and safety of the fixed-dose combination of betamethasone and calcipotriol in the induction phase is greater than that of either drug alone. The combination of corticosteroids with salicylic acid achieves better results than corticosteroids in monotherapy. None of the drugs evaluated stands out over the others in all clinical situations, and their use must therefore be individualized in each patient and adjusted according to the course of the disease.
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Affiliation(s)
- J M Carrascosa
- Servicio de Dermatología, Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona, España.
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Carrascosa J, Vanacloch F, Borrego L, Fernández-López E, Fuertes A, Rodríguez-Fernández-Freire L, Zulaica A, Tuneu A, Caballé G, Colomé E, Bordas X, Hernanz J, Brufau C, Herrera E. Update of the Topical Treatment of Psoriasis. Actas Dermo-Sifiliográficas (English Edition) 2009. [DOI: 10.1016/s1578-2190(09)70044-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Corbalan-Velez R, Ruiz-Macia JA, Brufau C, Martinez-Escribano J, Ara-Martín M, Carapeto FJ. 'Bowenoid wart': wart with bowenoid histological changes? Report of 9 cases. Dermatology 2008; 218:159-63. [PMID: 18832810 DOI: 10.1159/000161121] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2008] [Accepted: 06/03/2008] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION Cases of lesions that simulate Bowen's disease have been previously described in the literature. CASE REPORT Nine exophytic verruca-like lesions with histological findings of Bowen's disease (BD) are described. All cases had a rapid growth, and were located on the face and neck of elderly patients with chronic solar skin damage. We carried out p16 immunohistochemical staining using the immunoperoxidase technique, which was negative in all cases. DISCUSSION We think that these 9 lesions are only histologically mimicking BD, and could be a subtype of verruca ('bowenoid wart'). These lesions could be provoked by nononcogenic human papillomavirus (HPV), as in other cases previously described. The p16 staining was negative in all cases, in contrast with most BD cases. It would be interesting to study whether positive p16 staining is related to oncogenic HPV, whereas negative p16 staining could be associated with low or nononcogenic HPV; thus, more studies are needed.
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Affiliation(s)
- R Corbalan-Velez
- Dermatology Department, Virgen de la Arrixaca University Hospital, Carretera Murcia-Cartagena s/n, El Palmar, Murcia, Spain.
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Corbalán-Vélez R, Ruiz-Maciá J, Brufau C, López-Lozano J, Martínez-Barba E, Martínez-Escribano J, Carapeto F. Las células tipo epidermodisplasia verruciforme como marcador histológico de inmunodepresión: revisión de 229 carcinomas espinocelulares. Actas Dermo-Sifiliográficas 2008. [DOI: 10.1016/s0001-7310(08)74675-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Corbalán-Vélez R, Ruiz-Maciá JA, Brufau C, López-Lozano JM, Martínez-Barba E, Martínez-Escribano J, Carapeto FJ. [Epidermodysplasia verruciformis-like cells as histologic markers of immunosuppression: review of 229 squamous cell carcinomas]. Actas Dermosifiliogr 2008; 99:269-274. [PMID: 18394402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023] Open
Abstract
INTRODUCTION Epidermodysplasia verruciformis (EV) is associated with greater susceptibility to infection by certain oncogenic subtypes of human papillomavirus (HPV). Among other histologic findings, large, clear, oval or rounded cells (EV cells) are observed in the granular layer in EV, and some authors consider these cells to be markers of immunosuppression. MATERIAL AND METHODS We analyzed 229 squamous cell carcinomas (SCC) to determine whether EV cells were present and to assess whether their presence was associated either with localized or cutaneous immunosuppression (tumors with signs of severe chronic actinic damage or severe stasis dermatitis) or with systemic immunosuppression (immunocompromised or elderly patients). RESULTS We observed EV cells in 33 SCC. No statistically significant relationship was observed between the presence of EV cells and immunosuppression. We performed polymerase chain reaction in 8 lesions, but the results were not informative as the DNA was denatured. CONCLUSIONS We found no relationship between the presence of EV cells and localized or systemic immunosuppression, possibly because the sample was inadequate (almost all SCC studied were associated with signs of immunosuppression, irrespective of the presence or absence of EV cells). Further studies will be required to compare lesions associated with immunosuppression with those in which immunosuppression is absent. The presence of EV cells may be the result of cytopathic effects of certain HPV subtypes, such as HPV 5 or 8, but this will need to be demonstrated using techniques such as polymerase chain reaction.
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Affiliation(s)
- R Corbalán-Vélez
- Servicio de Dermatología, Hospital Universitario Virgen de la Arrixaca, Murcia, España.
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Corbalán-Vélez R, Ruiz-Maciá J, Brufau C, López-Lozano J, Martínez-Barba E, Martínez-Escribano J, Carapeto F. Epidermodysplasia Verruciformis-Like Cells as Histologic Markers of Immunosuppression: Review of 229 Squamous Cell Carcinomas. Actas Dermo-Sifiliográficas (English Edition) 2008. [DOI: 10.1016/s1578-2190(08)70250-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Corbalán-Vélez R, Ruiz-Maciá JA, Brufau C, Carapeto FJ. [Cutaneous squamous cell carcinoma and human papillomavirus]. Actas Dermosifiliogr 2007; 98:583-593. [PMID: 17961447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023] Open
Abstract
The relationship between mucosal human papillomavirus (HPV) and cervical carcinoma or anogenital squamous cell carcinoma (SCC) is becoming increasingly evident, whereas a link between HPV and other cutaneous SCCs is less clear. Recent studies have reported links between epidermodysplasia-verruciformis-associated HPV and extragenital cutaneous SCC, particularly in immunosuppressed patients, although immunocompetent patients have also been affected. Mucosal HPV could also be linked to some types of Bowen disease and certain SCCs of the fingers, oropharyngeal mucosa, etc. We review the possible oncogenic mechanisms involving mucosal HPV and epidermodysplasia-verruciformis-associated HPV. Most SCCs could be explained by the combined action of HPV, immunosuppression, and the oncogenic and immunosuppressive effect of UV radiation. HPV might be associated with worse prognosis of SCC, with implications for clinical practice including greater risk of metastasis.
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Affiliation(s)
- R Corbalán-Vélez
- Servicio de Dermatología. Hospital Universitario Virgen Arrixaca. Murcia. España.
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Ramírez-Andreo A, Hernández-Gil A, Brufau C, Marín N, Jiménez N, Hernández-Gil J, Tercedor J, Soria C. Dermatitis de contacto alérgica a tatuajes temporales de henna. Actas Dermo-Sifiliográficas 2007. [DOI: 10.1016/s0001-7310(07)70021-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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14
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Ramírez-Andreo A, Hernández-Gil A, Brufau C, Marín N, Jiménez N, Hernández-Gil J, Tercedor J, Soria C. [Allergic contact dermatitis to temporary henna tattoos]. Actas Dermosifiliogr 2007; 98:91-5. [PMID: 17397594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/14/2023] Open
Abstract
INTRODUCTION In the last years there have been increasing reports of adverse cutaneous reactions to temporary black henna tattoos. Black henna does not exist naturally, it is obtained from original henna after the addition of other compounds, among them paraphenylenediamine (PPD), that darken it and facilitate the process of tattoing. Paraphenylenediamine is an aromatic compound that presents cross reactions with other components that have a benzene ring in their molecular structure. Many of these products may be present in the daily life of any person. MATERIAL AND METHODS We reviewed patients that have shown erythema, inflammation and/or vesiculation in a previously tattooed area. The patients have undergone a temporary tattoo in street stalls during the summer period (2004-2005). A total of five patients were included, there were four men and one woman with a mean age of 13 years (3-34) and a mean latency period of 9.4 days (5-14). Black ink and plastic stencils were used to perform the tattoo. None of the patients has had previous contact with hair dyes or tattoos and none of them referred a personal history of atopic dermatitis. Patch testing was carried out using the standard set of the Spanish Group for Research in Contact Dermatitis [GEIDC] (TRUE TEST, Pharmacia. Hillerod. Denmark), with readings at 48 and 96 hours. RESULTS Sensitization to PPD is confirmed in three patients, one of them was also sensitized to formaldehyde. Hypopigmented scars persist in three patients. CONCLUSIONS Black henna pseudotattoos are a source of sensitization to PPD with potential severe consequences in a medium to long term. Currently there is no specific legislation with respect to the practice of this type of tattoos in our country.
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Affiliation(s)
- A Ramírez-Andreo
- Servicio de Dermatología, Hospital General Universitario Reina Sofía, Murcia, España.
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Ramírez-Andreo A, Hernández-Gil A, Brufau C, Marín N, Jiménez N, Hernández-Gil J, Tercedor J, Soria C. Allergic Contact Dermatitis To Temporary Henna Tattoos. Actas Dermo-Sifiliográficas (English Edition) 2007. [DOI: 10.1016/s1578-2190(07)70402-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Brufau C, Yagüe G, Martín Luengo F, Artero JM, Segovia M. [Tuberous lesion in the dorsum of the hand in an immunocompetent patient]. Enferm Infecc Microbiol Clin 1996; 14:55-6. [PMID: 8714188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
- C Brufau
- Servicio de Dermatología, Hospital General Universitario de Murcia
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Martín Algarra S, Muñoz Galindo L, Brufau C, Lezano B, Escudé L. [Tumor registry of the University Clinic of Navarra: 1981-1986]. Rev Med Univ Navarra 1989; 33:51-7. [PMID: 2490182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The tumor registry (TR) of the Clinica Universitaria de Navarra is a hospital based registry which includes all patients with a diagnosis of neoplastic disease diagnosed and/or treated in the different departments of the hospital. The incidence of different tumors from January 1981 to December 1986, has been studied based on the following parameters: sex, age, diagnosis and tumor site. It is concluded that the results of 6 years indicate a specialised care in oncologic patients of different tumor sites, which represents an adequate volume of patients for a university oriented program of training and research, at the level of pregraduate and specialised postgrade cycles.
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Affiliation(s)
- S Martín Algarra
- Dpto. de Oncología, Facultad de Medicina, Universidad de Navarra, Pamplona
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Brufau C, Canteras M, Armijo M. Our experience in the surgical treatment of cancer and precancerous lesions of the lower lip. J Dermatol Surg Oncol 1985; 11:908-12. [PMID: 4044989 DOI: 10.1111/j.1524-4725.1985.tb03562.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
We report on 279 patients with cancer and precancerous conditions of the lower lip who have been surgically treated. Cure rates and cosmetic results are evaluated in relation to the different surgical techniques employed. The types of tumors are statistically analyzed and discussed.
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Morán M, Brufau C, Armijo M. [Lipidized pigmentocellular nevus. I. Clinico-histological study]. Actas Dermosifiliogr 1980; 71:271-6. [PMID: 7468339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
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