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Zhang X, Yang L, Chen Y. Pseudoepitheliomatous hyperplasia of the auricle: two case reports and experiences of reconstruction. Eur Arch Otorhinolaryngol 2022. [PMID: 35622099 DOI: 10.1007/s00405-022-07453-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Accepted: 05/14/2022] [Indexed: 11/03/2022]
Abstract
BACKGROUND It is rare to find pseudoepitheliomatous hyperplasia (PEH) on the auricle. PEH should be differentiated from squamous cell carcinoma (SCC). Diagnosis is made after surgery as a biopsy is often inconclusive. A free or pedicled skin flap is needed to avoid deformation of the auricle. METHODS Adjacent pedicled skin flap is a good option for reconstruction. Moreover, it was shown how to repair the wound in the following two cases. RESULTS The flaps grew well after surgery, and the wound healed well. CONCLUSION PEH is a benign lesion. Adjacent pedicled skin flap is a good option for reconstruction, which can avoid deformation of the auricle.
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Luo H, Chi Y, Chen X, Chai J. Usage of negative pressure wound therapy in pseudoepitheliomatous hyperplasia secondary to burn injury: a case series. J Burn Care Res 2021; 43:492-495. [PMID: 34695202 DOI: 10.1093/jbcr/irab207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Pseudoepitheliomatous hyperplasia (PEH) is a reactive epithelial proliferation secondary to a wide range of stimuli, including traumatic injury, inflammation, infection, and tumors of the skins. PEH secondary to burn injury is rarely reported. We report 3 cases of PEH patients after burn injury. All three cases were confirmed with the existence of bacterial infection, and all these cases were second or third degree burns. All 3 patients were treated with negative pressure wound therapy after wound debridement or tangential excision. All the wounds healed without split-thickness skin grafting and recurrence.
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Affiliation(s)
- Hongmin Luo
- Department of Burns and Wound Repair Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
| | - Yunfei Chi
- Burn Institute, The Fourth Medical Center of the PLA General Hospital, 51 Fu Cheng Road, Beijing, China
| | - Xin Chen
- Burn Institute, The Fourth Medical Center of the PLA General Hospital, Beijing, China
| | - Jiake Chai
- Burn Institute, The Fourth Medical Center of the PLA General Hospital, Beijing, China
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3
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Kaliki S, Maniar A, Jakati S, Mishra DK. Anterior segment optical coherence tomography features of pseudoepitheliomatous hyperplasia of the ocular surface: a study of 9 lesions. Int Ophthalmol 2020; 41:113-119. [PMID: 32839863 DOI: 10.1007/s10792-020-01558-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2020] [Accepted: 08/16/2020] [Indexed: 10/23/2022]
Abstract
PURPOSE To describe anterior segment optical coherence tomography (AS-OCT) features of pseudoepitheliomatous hyperplasia (PEH) of the ocular surface. METHODS This is a retrospective study of 9 lesions of 8 patients with histopathologically proven PEH RESULTS: Mean age at diagnosis of PEH was 31 years (median 31 years; range 12 to 62 years). The lesion was unilateral in 7 (88%) patients and bilateral in one (12%). Two patients (25%) had xeroderma pigmentosum, who also had a history of prior surgical intervention in the same eye for conjunctival tumor excision. Referral diagnosis was ocular surface squamous neoplasia (OSSN) in all cases. Ocular surface mass (n = 4, 44%) was the most common presenting complaint. The mean duration of symptoms was 18 months (median 3 months; range < 1 to 84 months). All lesions were perilimbal, and the mean basal diameter of the tumor was 7 mm (median 6 mm; range 4 to 12 mm). Clinical diagnosis included OSSN (n = 5; 56%), PEH (n = 3; 33%), or leiomyosarcoma (n = 1; 11%). AS-OCT features included irregular hyperreflective epithelium, epithelial dipping, and subepithelial hyperreflective lesion with posterior shadowing in all cases. Histopathology confirmed the diagnosis of PEH in all cases. The underlying cause of PEH in these cases included vernal keratoconjunctivitis (n = 4; 44%), idiopathic severe blepharitis (n = 2; 22%), or prior surgical intervention (n = 2; 22%). No apparent cause could be determined in one eye (11%). CONCLUSION Ocular surface PEH is a close mimicker of OSSN. Careful history-taking, clinical examination, and characteristic AS-OCT features aid in accurate diagnosis.
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Affiliation(s)
- Swathi Kaliki
- Operation Eyesight Universal Institute for Eye Cancer, L V Prasad Eye Institute, Hyderabad, 500034, India.
| | - Arpita Maniar
- Operation Eyesight Universal Institute for Eye Cancer, L V Prasad Eye Institute, Hyderabad, 500034, India
| | - Saumya Jakati
- Ophthalmic Pathology Services, L V Prasad Eye Institute, Hyderabad, India
| | - Dilip K Mishra
- Ophthalmic Pathology Services, L V Prasad Eye Institute, Hyderabad, India
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Ahmad B, Asif M, Ali A, Jamal S, Khan MZ, Khadim MT. Expression of Ki-67 and Βeta-Catenin in Pseudoepitheliomatous Hyperplasia and Squamous Cell Carcinoma in Oral Mucosal Biopsies : An Immunohistochemical Study. Asian Pac J Cancer Prev 2020; 21:157-161. [PMID: 31983178 PMCID: PMC7294027 DOI: 10.31557/apjcp.2020.21.1.157] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Indexed: 12/24/2022] Open
Abstract
Objective: To examine the immunohistochemical expression of Ki-67 and beta-catenin in pseudoepitheliomatous hyperplasia and squamous cell carcinoma (SCC) in oral mucosal biopsies. Methods: In this comparative cross sectional study, 70 cases of each PEH and OSCC were taken from the patients of both genders and in all age groups. Study was conducted at Armed Forces Institute of Pathology (AFIP), Rawalpindi from Dec 2017 to March 2019. Statistical analysis was done with the help of SPSS Version 24.0. We used Chi-Squared test with p value of < 0.05 which was considered as statistically significant. Results: In the current study, 80 (57.1%) male and 60 (42.8%) female patients with the mean age of 51.69 ± 16.121 (mean ± SD) years were included. It was found that 6-25% Ki-67 labeling index was observed in all (70) PEH cases, which involved only basal layer of the epithelium. Whereas, Ki-67 labeling index was highly expressed in tumor of high grade malignancy than tumor of low grade malignancy. On the other hand, expression of membranous beta-catenin was higher in PEH and cytoplasmic beta-catenin expression was higher in OSCC. Conclusion : It is concluded that Ki-67 and beta-catenin showed significant expression in PEH and OSCC in oral mucosal biopsies especially those with intense inflammation or unoriented tissue, helping the clinicians to arrive at a final diagnosis before planning any surgical intervention.
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Affiliation(s)
- Bismah Ahmad
- Department of Histopathology, Armed forces Institute of Pathology (AFIP), Rawalpindi, Pakistan
| | - Mohammad Asif
- Department of Histopathology, Armed forces Institute of Pathology (AFIP), Rawalpindi, Pakistan
| | - Anam Ali
- Department of Histopathology, Armed forces Institute of Pathology (AFIP), Rawalpindi, Pakistan
| | - Shahid Jamal
- Department of Histopathology, Watim Medical and Dental College, Rawalpindi, Pakistan
| | - Muhammad Zaib Khan
- Department of Endodontics , Margalla Institute of Health Sciences, Rawalpindi, Pakistan
| | - Mohammad Tahir Khadim
- Department of Histopathology, Armed forces Institute of Pathology (AFIP), Rawalpindi, Pakistan
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5
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Abstract
Exophytic lesions of the tongue encompass a diverse spectrum of entities. These are most commonly reactive, arising in response to local trauma but can also be neoplastic of epithelial, mesenchymal or miscellaneous origin. In most cases, the microscopic examination is likely to provide a straightforward diagnosis. However, some cases can still raise microscopic diagnostic dilemmas, such as conditions that mimic malignancies, benign tumors with overlapping features and anecdotal lesions. A series of "lumps and bumps" of the tongue are presented together with suggested clues that can assist in reaching a correct diagnosis, emphasizing the importance of the clinico-pathological correlations.
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Affiliation(s)
- Irit Allon
- Institute of Pathology, Barzilai University Medical Center, 2 Hahistadrut St, Ashkelon, Israel.
- School of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheba, Israel.
| | - Marilena Vered
- Department of Oral Pathology and Oral Medicine, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
- Institute of Pathology, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel
| | - Ilana Kaplan
- Department of Oral Pathology and Oral Medicine, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
- Institute of Pathology, Rabin Medical Center, Petah-Tikva, Israel
- Institute of Pathology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel
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Broussard-Steinberg C, Zemtsov A, Strausburg M, Zemtsov G, Warren S. Lichenoid Reaction Pattern with Pseudoepitheliomatous Hyperplasia - A Rare Tattoo Reaction: A Case Report and Review of the Literature. Case Rep Dermatol 2019; 10:268-273. [PMID: 30631273 PMCID: PMC6323364 DOI: 10.1159/000495026] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2018] [Accepted: 10/31/2018] [Indexed: 11/29/2022] Open
Abstract
Pseudoepitheliomatous hyperplasia is a benign histologic reaction pattern that in rare cases can occur shortly after a tattooing procedure. We describe a case of pseudoepitheliomatous hyperplasia in two tattoos on the same patient 1 year after filling with the same batch of red ink.
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Affiliation(s)
| | - Alexander Zemtsov
- Department of Dermatology, Indiana University School of Medicine, Indianapolis, Indiana, USA
| | - Matthew Strausburg
- Department of Dermatology, Indiana University School of Medicine, Indianapolis, Indiana, USA
| | - Gregory Zemtsov
- Department of Dermatology, Indiana University School of Medicine, Indianapolis, Indiana, USA
| | - Simon Warren
- Department of Dermatology, Indiana University School of Medicine, Indianapolis, Indiana, USA
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Agrawal P, Bhartiya R, Singh RVN. Incidental Detection of Hairy Cell Leukaemia with Herpes Simplex Virus (HSV) Related Lip Ulcer Mimicking Carcinoma. J Clin Diagn Res 2016; 10:ED09-11. [PMID: 27656454 DOI: 10.7860/jcdr/2016/20751.8322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2016] [Accepted: 06/20/2016] [Indexed: 11/24/2022]
Abstract
Hairy cell leukemia is a chronic lympho-proliferative disease. It is indolent but progressive in nature. It arises from B-cell lineage. We report an incidentally detected case of Hairy Cell Leukaemia (HCL) in a 55-year-old male patient with Herpes simplex virus (HSV) - related lip ulcer mimicking squamous cell carcinoma. Clinically the patient presented with lip ulceration without pain. He was found to have moderate hepatosplenomegaly and pancytopenia on general examination. Bone marrow aspiration and flow cytometric immunophenotyping revealed HCL. The oral lesion resolved after antiviral therapy. The intriguing possibility of a combined pathogenesis for the two disorders is considered, as HCL is known to be associated with immunosuppression, second malignancies and the production of cytokines promoting epithelial growth.
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Affiliation(s)
- Pallavi Agrawal
- Assistant Professor, Department of Pathology, Patna Medical College and Hospital (PMCH) , Patna, Bihar, India
| | - Richa Bhartiya
- Associate Professor, Department of Pathology, Patna Medical College and Hospital (PMCH) , Patna, Bihar, India
| | - Ran Vijoy Narayan Singh
- Professor, Department of Pathology, Vardhaman Institute of Medical Sciences (VIMS) , Pawapuri, Nalanda, Bihar, India
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Johnson N, Voznesensky M, VerLee G. Large Penile Mass With Unusual Benign Histopathology. Urol Case Rep 2016; 3:155-6. [PMID: 26793536 PMCID: PMC4672660 DOI: 10.1016/j.eucr.2015.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2015] [Accepted: 05/26/2015] [Indexed: 11/29/2022] Open
Abstract
Pseudoepitheliomatous hyperplasia is an extremely rare condition presenting as a lesion on the glans penis in older men. Physical exam without biopsy cannot differentiate malignant from nonmalignant growth. We report a case of large penile mass in an elderly male with a history of lichen sclerosis, highly suspicious for malignancy. Subsequent surgical removal and biopsy demonstrated pseudoepitheliomatous hyperplasia, an unusual benign histopathologic diagnosis with unclear prognosis. We review the literature and discuss options for treatment and surveillance.
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Affiliation(s)
- Nate Johnson
- Tufts University School of Medicine, Boston, MA, USA
| | - Maria Voznesensky
- Division of Urology, Department of Surgery, Maine Medical Center, Portland, ME, USA
| | - Graham VerLee
- Division of Urology, Department of Surgery, Maine Medical Center, Portland, ME, USA
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Abstract
Many premalignant and malignant lesions affect the genitalia of elderly men. These include conditions like erythroplasia of Queyret, giant condyloma acuminata, verrucous carcinoma, invasive squamous cell carcinoma (SCC), which are relatively common. We report a case of a 65-year-old male with pseudoepitheliomatous keratotic and micaceous balanitis which is a rare penile condition affecting the elderly. It is considered as a distinct clinical entity by some, while others consider it as a condition that overlaps with verrucous carcinoma. It can also be considered a premalignant condition, as progression to invasive SCC has been noted.
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Affiliation(s)
- Keshavmurthy A Adya
- Department of Dermatology, Venereology and Leprosy, Shri B M Patil Medical College Hospital and Research Center, Bijapur Liberal Development Education University, Bijapur, Karnataka, India
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Adya KA, Palit A, Inamadar AC. Pseudoepitheliomatous keratotic and micaceous balanitis. Indian J Sex Transm Dis AIDS 2013. [PMID: 24339464 PMCID: PMC3841663 DOI: 10.4103/2589-0557.120551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Many premalignant and malignant lesions affect the genitalia of elderly men. These include conditions like erythroplasia of Queyret, giant condyloma acuminata, verrucous carcinoma, invasive squamous cell carcinoma (SCC), which are relatively common. We report a case of a 65-year-old male with pseudoepitheliomatous keratotic and micaceous balanitis which is a rare penile condition affecting the elderly. It is considered as a distinct clinical entity by some, while others consider it as a condition that overlaps with verrucous carcinoma. It can also be considered a premalignant condition, as progression to invasive SCC has been noted.
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Affiliation(s)
- Keshavmurthy A. Adya
- Department of Dermatology, Venereology and Leprosy, Shri B M Patil Medical College Hospital and Research Center, Bijapur Liberal Development Education University, Bijapur, Karnataka, India
| | - Aparna Palit
- Department of Dermatology, Venereology and Leprosy, Shri B M Patil Medical College Hospital and Research Center, Bijapur Liberal Development Education University, Bijapur, Karnataka, India
| | - Arun C. Inamadar
- Department of Dermatology, Venereology and Leprosy, Shri B M Patil Medical College Hospital and Research Center, Bijapur Liberal Development Education University, Bijapur, Karnataka, India,Address for correspondence: Dr. Arun C. Inamadar, Department of Dermatology, Venereology and Leprosy, Shri B M Patil Medical College Hospital and Research Center, Bijapur Liberal Development Education University, Bijapur - 586 103, Karnataka, India. E-mail:
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You TK, Kim KM, Noh SJ, Bae JS, Jang KY, Chung MJ, Moon WS, Kang MJ, Lee DG, Park HS. Expressions of E-cadherin, Cortactin and MMP-9 in Pseudoepitheliomatous Hyperplasia and Squamous Cell Carcinoma of the Head and Neck: Their Relationships with Clinicopathologic Factors and Prognostic Implication. Korean J Pathol 2012; 46:331-40. [PMID: 23110025 PMCID: PMC3479816 DOI: 10.4132/koreanjpathol.2012.46.4.331] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/14/2012] [Revised: 07/23/2012] [Accepted: 07/24/2012] [Indexed: 01/18/2023]
Abstract
BACKGROUND E-cadherin, cortactin, and matrix metalloproteinase (MMP)-9 have roles in tumor development or progression, but their expression has not been fully investigated in pseudoepitheliomatous hyperplasia (PEH) and squamous cell carcinoma (SCC) of the head and neck. METHODS We evaluated the immunohistochemical expression of E-cadherin, cortactin, and MMP-9 in 29 cases of PEH and 97 cases of SCC. Additionally, we evaluated their relationship with clinicopathologic factors and prognostic implications in SCC. RESULTS Thirty-five cases of SCC showed reduced expression of E-cadherin, whereas none of the PEH did. A total of 20 cases and 11 cases of SCC were immunoreactive for cortactin and MMP-9, respectively, whereas none of the PEH did. In SCC, reduced expression of E-cadherin was correlated with cortactin expression and invasion depth. Cortactin expression was correlated with differentiation, T classification, and recurrence and/or metastasis. MMP-9 expression was correlated with invasion depth. Cortactin expression was correlated with poor overall survival and relapse-free survival and it was an independent prognostic factor. CONCLUSIONS The reduced expression of E-cadherin and the expression of cortactin may be helpful for the differential diagnosis of PEH and SCC. Furthermore, cortactin expression in association with reduced E-cadherin expression is correlated with poor prognosis in SCC.
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Affiliation(s)
- Tack Kune You
- Department of Pathology, Chonbuk National University Medical School, Jeonju, Korea
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Abstract
Granular cell tumour, also known as Abrikossoff tumour, is a relatively uncommon benign neoplasm, which is more commonly found in females in the 4th to 6th decades of life even though it can occur in all ages. It occurs in all areas of the body but about 45-65% of all lesions are reported in the head and neck region. Intraoral lesions represent about 70% of the granular cell tumours of the head and neck, and account for 1/3 of all cases affecting the whole body. Most of the intraoral lesions occur on the tongue, usually on the lateral aspect, followed by the buccal mucosa and hard palate. Although majority of granular cell tumours are benign, some are clinically aggressive and a few frankly malignant forms have been reported. Some benign lesions exhibit surface ulcerations and this clinical appearance, combined with the overlying pseudoepitheliomatous hyperplasia, seen histologically, may lead to misdiagnosis of malignancy if adequate biopsy material was not taken. A case of granular cell tumour which occurred on the midline area of the dorsum of the posterior 1/3 of the tongue is reported in a 20-year-old female patient. It is interesting because the patient was younger than the average age of occurrence and the tumour occurred in a similar site to that of a lingual thyroid.
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Viswanathan S, Chawla N, D'Cruz A, Kane SV. Head and neck histoplasmosis--a nightmare for clinicians and pathologists! Experience at a tertiary referral cancer centre. Head Neck Pathol 2007; 1:169-72. [PMID: 20614270 DOI: 10.1007/s12105-007-0034-1] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2007] [Accepted: 09/26/2007] [Indexed: 10/22/2022]
Abstract
Histoplasmosis is a rarely reported deep mycotic infection in the Indian context. Oral or oropharyngeal manifestation can occur as an isolated symptom or as part of a disseminated process associated with immunosuppression especially with HIV and diabetes. Five cases of head and neck histoplasmosis accrued over 6 years in a tertiary referral cancer institute were reviewed. All these patients presented clinically as cancer. In three patients, the marked pseudoepitheliomatous hyperplasia led to a mistaken biopsy diagnosis of malignancy following which definitive surgical treatment was performed. The subsequent excision revealed typical features of histoplasmosis. Isolated oral presentation of histoplasmosis can mimic malignancy both clinically as well as pathologically, leading to potentially disastrous consequences. A high index of suspicion in those with overt or hidden immunosuppression and a deep wedge biopsy to demonstrate the organisms in the subepithelial tissue is recommended.
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Mann SS, Singh A, Prasad SP, Kumar S, Ghosh DK. LIMBAL PSEUDOEPITHELIOMATOUS HYPERPLASIA: Case Report. Med J Armed Forces India 1999; 55:67-68. [PMID: 28775574 DOI: 10.1016/s0377-1237(17)30322-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
- S S Mann
- Graded Specialist (Ophthalmology), Base Hospital, Delhi Cantt 110010
| | - Ashok Singh
- Classified Specialist (Ophthalmology), Base Hospital, Delhi Cantt 11 0010
| | - S P Prasad
- Classified Specialist (Ophthalmology), Base Hospital, Delhi Cantt 11 0010
| | - Shailesh Kumar
- Classified Specialist (Ophthalmology), Base Hospital, Delhi Cantt 11 0010
| | - D K Ghosh
- Classified Specialist (Pathology), 159 GH C/o 56 APO
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