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Tayyebi Meibodi N, Nahidi Y, Izanlu M, Davoodi N, Davoodi S. Perianal Linear Syringocystadenoma Papilliferum: A Case Report with Review of the Literature. Iran J Pathol 2023; 18:483-487. [PMID: 38024547 PMCID: PMC10646747 DOI: 10.30699/ijp.2023.1999659.3094] [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] [Figures] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Accepted: 08/23/2023] [Indexed: 12/01/2023]
Abstract
Syringocystadenoma papilliferum is a rare benign adnexal tumor that originates from the apocrine and eccrine glands. It mainly manifests as a solitary lesion in the head and neck; however, rarely, it may involve the trunk and limbs, typically with a linear pattern. Here, we report an extremely rare case of congenital linear syringocystadenoma papilliferum on the left buttock near the anus in a 6-year-old girl. This lesion should be considered in the list of differential diagnosis of linear lesions in order to prevent complications with proper diagnosis, treatment or follow-up.
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Affiliation(s)
- Naser Tayyebi Meibodi
- Cutaneous Leishmaniosis Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Yalda Nahidi
- Cutaneous Leishmaniosis Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Mostafa Izanlu
- Department of Pathology, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Negin Davoodi
- Student Research Committee, School of Medicine, Shahrood University of Medical Sciences, Shahrood, Iran
| | - Sima Davoodi
- Cutaneous Leishmaniosis Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
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2
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Skopec Z, Berrebi KG, Stone M, Liu V. Complex sweat gland hamartoma: A case report. J Cutan Pathol 2023; 50:243-246. [PMID: 36323653 DOI: 10.1111/cup.14350] [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: 08/06/2022] [Revised: 10/19/2022] [Accepted: 10/31/2022] [Indexed: 11/06/2022]
Abstract
Syringocystadenoma papilliferum (SCAP), tubular apocrine adenoma (TAA), and eccrine nevus are rare benign sweat gland tumors with varied clinical presentations but generally distinctive histomorphologic profiles. TAA and SCAP have been associated with other cutaneous hamartomas, most commonly with nevus sebaceus. Additionally, TAA and SCAP have uncommonly co-occurred in the same lesion. In contrast to nevus sebaceus, eccrine nevus is considerably less common and is rarely associated with other benign adnexal lesions. Here we present an unusual case of a complex sweat gland hamartoma containing features of syringocystadenoma papilliferum, tubular apocrine adenoma, and eccrine nevus in a 7-year-old female.
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Affiliation(s)
- Zachary Skopec
- Department of Dermatology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
| | - Kristen G Berrebi
- Department of Dermatology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
| | - Mary Stone
- Department of Dermatology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.,Department of Pathology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
| | - Vincent Liu
- Department of Dermatology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.,Department of Pathology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
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3
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Kim JH, Uh JA, Lee JH, Kim HY, Lee SK, Kim MS, Lee UH. Unusual Complex Apocrine Tumor Consisting of Syringocystadenoma Papilliferum and Apocrine Hidrocystoma within a Single Lesion: A Case Report. Ann Dermatol 2023; 35:66-70. [PMID: 36750461 PMCID: PMC9905859 DOI: 10.5021/ad.21.023] [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: 01/19/2021] [Revised: 03/23/2021] [Accepted: 04/06/2021] [Indexed: 02/03/2023] Open
Abstract
Syringocystadenoma papilliferum (SCAP) and apocrine hidrocystoma (AH) are benign apocrine neoplasms that usually occur separately. SCAP arises predominantly in head and neck, while AH typically develop in periorbital area. We report a case of a 68-year-old male with an asymptomatic erythematous papulonodule that occurred on his back 3 years ago. Histologic examination showed cystic invagination extending from the epidermis into the dermis with some papillary projections. The invaginated portion was lined by epithelial bilayer composed of cuboidal and columnar cells, and decapitation secretion was observed in the inner epithelial layer. In the deep dermis, multiple cystic spaces with variable sizes were observed, and these cysts also presented double layers of the epithelium and decapitation secretion. According to such histologic features, the coexistence of SCAP and AH within a single lesion was demonstrated. The patient was recommended to completely remove the remaining lesion after punch biopsy, but he refused further surgical management. Herein, we report an unusual case of complex apocrine tumor with a rare composition in an atypical site.
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Affiliation(s)
- Joong Ho Kim
- Department of Dermatology, Inje University Sanggye Paik Hospital, Seoul, Korea
| | - Ji An Uh
- Department of Dermatology, Inje University Sanggye Paik Hospital, Seoul, Korea
| | - Jae Ho Lee
- Department of Dermatology, Inje University Sanggye Paik Hospital, Seoul, Korea
| | - Ho Young Kim
- Department of Dermatology, Inje University Sanggye Paik Hospital, Seoul, Korea
| | - Soo Kyung Lee
- Department of Dermatology, Inje University Sanggye Paik Hospital, Seoul, Korea
| | - Myoung Shin Kim
- Department of Dermatology, Inje University Sanggye Paik Hospital, Seoul, Korea
| | - Un Ha Lee
- Department of Dermatology, Inje University Sanggye Paik Hospital, Seoul, Korea.
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Verma RR, Verma R. Syringocystadenocarcinoma Papilliferum of External Auditory Canal: First Case Report in English Literature. Indian J Otolaryngol Head Neck Surg 2022; 74:3700-3705. [PMID: 36742756 PMCID: PMC9895180 DOI: 10.1007/s12070-021-02434-x] [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: 01/22/2021] [Accepted: 02/02/2021] [Indexed: 02/07/2023] Open
Abstract
Malignant tumors of external auditory canal (EAC) constitute less than 0.2% of all head and neck cancers. The incidence of carcinoma of the EAC is estimated to be between one in six per million populations. Majority of cancers of EAC are squamous cell carcinomas and basal cell carcinomas. Some rare and unusual tumors do occur within the ear canal including malignant melanoma, merkel cell carcinoma, angiosarcoma, lymphoma and adnexal carcinomas like ceruminous adenocaricinoma and adenoid cystic carcinoma. Ceruminous glands tumors constitute about 5% of all external auditory canal tumors. Carcinoma of the external auditory canal is a difficult diagnosis unless the tumors presents as a fungating mass protruding from the external auditory canal. Syringocystadenocarcinoma Papilliferum (SCACP) is an extremely rare cutaneous adnexal neoplasm. Syringocystadenoma papilliferum (SCAP) is thought to be precursor of SCACP. About 50 cases of SCACP have been reported in literature all over the body. The diagnosis is difficult and excisional biopsy becomes mandatory for diagnosis and treatment. We present a case of SCACP in the external auditory canal in a middle-aged female. To the best of our knowledge and belief, this is the first case of SCACP in the external auditory canal in the English literature. This prompted us to report this case.
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Affiliation(s)
- Ravneet Ravinder Verma
- Department of Otorhinolaryngology, Head and Neck Surgery, Government Medical College and Hospital, Chandigarh, India
| | - Ravinder Verma
- Verma Hospital and Research Centre, Gujral Nagar, Jalandhar, 144001 India
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5
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Jakovljevic S, Arsovic N, Boricic N, Laketic D, Dudvarski Z. Syringocystadenoma Papilliferum in the External Ear Canal. Arch Iran Med 2022; 25:658-660. [PMID: 37543891 PMCID: PMC10685767 DOI: 10.34172/aim.2022.101] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Accepted: 11/06/2021] [Indexed: 08/07/2023]
Abstract
Out of all benign tumors of the ceruminous glands, syringocystadenoma papilliferum is the rarest and represents only 2% of cases. It is an extremely rare benign tumor that originates from modified apocrine sweat glands. The aim of this paper was to present, according to our findings, the 18th case of syringocystadenoma papilliferum in the external auditory canal, with a detailed review of its clinical, radiological and histomorphological characteristics. A 59-year-old man reported to our clinic due to a 5×5 mm papillomatous growth at the entrance to the right external auditory canal. Histopathology indicated, after an excisional biopsy, that it was a syringocystadenoma papilliferum. The resection lines were free of tumor tissue, and the patient has no signs of tumor recurrence. Although rare, it should be considered as a differential diagnosis of lesions in this region. Complete excision is mandatory in order to avoid recurrence and potential malignant alteration.
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Affiliation(s)
- Sasa Jakovljevic
- Clinic of Otorhinolaryngology and Maxillofacial Surgery, University Clinical Center of Serbia, Belgrade, Serbia
| | - Nenad Arsovic
- Clinic of Otorhinolaryngology and Maxillofacial Surgery, University Clinical Center of Serbia, Belgrade, Serbia
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Novica Boricic
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Institute of Pathology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Darko Laketic
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Institute of Anatomy, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Zoran Dudvarski
- Clinic of Otorhinolaryngology and Maxillofacial Surgery, University Clinical Center of Serbia, Belgrade, Serbia
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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6
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Moreno Ontalba A, Gómez Durán Á, Ruiz Cabezas L, Cidoncha Pérez E, Díaz Delgado M, Rubio Fernández A. [Cystic tubulopapillary adenoma with apocrine differentiation and BRAF V600E mutation. A case report and review of the literature]. Rev Esp Patol 2022; 55 Suppl 1:S64-S68. [PMID: 36075666 DOI: 10.1016/j.patol.2020.02.004] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2019] [Revised: 01/27/2020] [Accepted: 02/12/2020] [Indexed: 06/15/2023]
Abstract
Syringocystadenoma papilliferum (SCAP), tubular adenoma (TA) and hydrocystoma (HC) are benign adnexal tumors. Recently it has been suggested that these lesions belong to the same morphological spectrum: Tubulopapillary cystic adenoma with apocrine differentiation (TPCAa). BRAF and K-Ras (KRAS) mutations have been described in SCAP and TA, but not in HC. Moreover, verrucous epithelial proliferations have been observed in TPCAa. We present a case of TPCAa with BRAF V600E mutation and BRAF VE1 immunohistochemical expression in the SCAP, AT, HC and verrucous hyperplasia components.
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Affiliation(s)
- Alicia Moreno Ontalba
- Servicio de Anatomía Patológica, Complejo Hospitalario Universitario de Badajoz, Badajoz, España.
| | - Áurea Gómez Durán
- Servicio de Anatomía Patológica, Complejo Hospitalario Universitario de Badajoz, Badajoz, España
| | - Lismary Ruiz Cabezas
- Servicio de Anatomía Patológica, Complejo Hospitalario Universitario de Badajoz, Badajoz, España
| | - Esther Cidoncha Pérez
- Servicio de Anatomía Patológica, Complejo Hospitalario Universitario de Badajoz, Badajoz, España
| | - Mario Díaz Delgado
- Servicio de Anatomía Patológica, Complejo Hospitalario Universitario de Badajoz, Badajoz, España
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Aggarwal D, Chatterjee D, Keshavamurthy V, Chhikara K, Saikia UN, Radotra BD, De D, Singh MP. Contiguous squamous proliferations in syringocystadenoma papilliferum: A retrospective study of 14 cases. Indian J Dermatol Venereol Leprol 2021; 89:266-273. [PMID: 34623039 DOI: 10.25259/ijdvl_845_20] [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: 06/01/2020] [Accepted: 05/01/2021] [Indexed: 11/04/2022]
Abstract
BACKGROUND Syringocystadenoma papilliferum is a benign adnexal neoplasm. Contiguous squamous proliferation has been rarely described in syringocystadenoma papilliferum. AIMS This study aimed to evaluate the spectrum and pathogenesis of contiguous squamous proliferation in syringocystadenoma papilliferum. MATERIALS AND METHODS All cases of syringocystadenoma papilliferum diagnosed over the past 12 years were screened for contiguous squamous proliferation. Cases with associated nevus sebaceous were excluded from the study. Immunohistochemistry for GATA3, CK7, BRAFV600E and p16 was performed. PCR for human papilloma virus, type 16 and 18, was carried out. RESULTS Of a total of 30 cases, 14 cases showed associated contiguous squamous proliferation which included four cases of verrucous hyperplasia, six cases with papillomatosis, two cases with mild squamous hyperplasia and one case each of Bowen's disease and squamous cell carcinoma. In the cases with non-neoplastic contiguous squamous proliferations, the squamous component did not express CK7 or GATA3. However, the squamous component of premalignant and malignant lesions expressed CK7 and GATA3 concordant with the adenomatous component. BRAF was positive in adenomatous component in five cases while the contiguous squamous proliferation component was negative for BRAF in all but one case. p16 was negative in both components of all cases and PCR for human papilloma virus was negative in all cases. LIMITATIONS Due to the rarity of disease, the sample size of our study was relatively small with two cases in the 2nd group, that is, syringocystadenoma papilliferum with malignant contiguous squamous proliferation. Detailed molecular studies such as gene sequencing were not performed. CONCLUSION Syringocystadenoma papilliferum with contiguous squamous proliferation is underreported, and most commonly displays verrucous hyperplasia. The premalignant and malignant contiguous squamous proliferations likely arise from syringocystadenoma papilliferum while the hyperplastic contiguous squamous proliferations likely arise from the adjacent epidermis. Relationship with high-risk human papilloma virus is unlikely. However, further molecular analysis of larger number of cases is required to establish the pathogenesis.
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Affiliation(s)
- Divya Aggarwal
- Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Debajyoti Chatterjee
- Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Vinay Keshavamurthy
- Department of Dermatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Komal Chhikara
- Department of Virology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Uma Nahar Saikia
- Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Bishan D Radotra
- Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Dipankar De
- Department of Dermatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Mini P Singh
- Department of Virology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Opoko U, Salissou I, Ajaaouani R, Sabr A, Raiteb M, Elmrini S, Chiheb S, Slimani F. Nasal syringocystadenoma papilliferum in an elderly subject aggravated by Koebner's phenomenon after surgery: A case report. Ann Med Surg (Lond) 2021; 69:102678. [PMID: 34429949 PMCID: PMC8371227 DOI: 10.1016/j.amsu.2021.102678] [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: 06/28/2021] [Revised: 08/01/2021] [Accepted: 08/03/2021] [Indexed: 11/04/2022] Open
Abstract
Syringocystadenoma papilliferum is a rare benign adnexal tumour of the sweat glands. It is considered an infantile tumour since it preferentially affects the newborn in 50% of cases and the child before puberty in 15–30% of cases. And its preferential location is the head and neck, but rare in the face. And the first line treatment remains surgery. We report here a case of Syringocystadenoma papilliferum in a nasal location in a 70 year old subject with a history of pemphigus vulgaris, treated by surgical excision, whose postoperative course was aggravated by Koebner phenomenon. Syringocystadenoma papilliferum is a rare benign adnexal tumour of the sweat glands, with preferential localisation in the head and neck. It is often present at birth and in early childhood before puberty, and rare in adults. The recommended management is surgery, but certain comorbidities may be responsible for Koebner's phenomenon. Koebner's phenomenon is the appearance of typical new skin lesions on wounded areas of otherwise healthy skin.
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Affiliation(s)
- Ulrich Opoko
- Department of Stomatology and Maxillofacial Surgery, CHU Ibn Rochd, Casablanca, Morocco
| | - Iro Salissou
- Department of Stomatology and Maxillofacial Surgery, CHU Ibn Rochd, Casablanca, Morocco
| | - Rkia Ajaaouani
- Department of Dermatology and Venereology, CHU Ibn Rochd, Casablanca, Morocco
| | - Ayoub Sabr
- Department of Stomatology and Maxillofacial Surgery, CHU Ibn Rochd, Casablanca, Morocco
| | - Mohamed Raiteb
- Department of Stomatology and Maxillofacial Surgery, CHU Ibn Rochd, Casablanca, Morocco
| | - Sanaa Elmrini
- Department of Stomatology and Maxillofacial Surgery, CHU Ibn Rochd, Casablanca, Morocco
| | - Soumiya Chiheb
- Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.,Department of Dermatology and Venereology, CHU Ibn Rochd, Casablanca, Morocco
| | - Faiçal Slimani
- Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.,Department of Stomatology and Maxillofacial Surgery, CHU Ibn Rochd, Casablanca, Morocco
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9
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Jiang HJ, Zhang Z, Zhang L, Pu YJ, Zhou N, Shu H. Neonatal syringocystadenoma papilliferum: A case report. World J Clin Cases 2021; 9:4772-4777. [PMID: 34222446 PMCID: PMC8223827 DOI: 10.12998/wjcc.v9.i18.4772] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Revised: 04/08/2021] [Accepted: 05/06/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Syringocystadenoma papilliferum (SCAP) represents a rare, noncancerous adnexal tumor predominantly presenting at birth or in early childhood.
CASE SUMMARY In this study, a 35-day-old girl was admitted to Kunming Children’s Hospital in October 2019 due to a lesion in the right frontotemporal region since birth. The surface of the lesion was bright red, granular, and papillary and easily bled upon touch, with about 1.5 cm × 4 cm in size. A subcutaneous mass was felt at the base of the lesion, with a size of about 3 cm × 5 cm. Dermatoscopy showed that the skin lesion was lobular and crumby. The lesion center was reddish or white, while the edges were white or yellowish band-like. There were polymorphic vascular structures and white radial streaks in the lesion, with some vascular clusters scattered. Pathological examination showed papilloma-like hyperplasia of the epidermis, with the epidermis partly sinking into the dermis to form several cystic depressions. Combining clinical and histopathological features, the child was diagnosed with SCAP. Follow-up is ongoing, and surgical resection will be performed.
CONCLUSION This was a special clinical manifestation of SCAP, which complements the clinical manifestations of the disease and provides new insights for the diagnosis and differentiation of neonatal skin tumors.
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Affiliation(s)
- Hong-Jing Jiang
- Department of Dermatology, Kunming Children's Hospital, Kunming 650034, Yunnan Province, China
| | - Zhao Zhang
- Department of Dermatology, Kunming Children's Hospital, Kunming 650034, Yunnan Province, China
| | - Li Zhang
- Department of Dermatology, Kunming Children's Hospital, Kunming 650034, Yunnan Province, China
| | - Yun-Jing Pu
- Department of Dermatology, Kunming Children's Hospital, Kunming 650034, Yunnan Province, China
| | - Nian Zhou
- Department of Dermatology, Kunming Children's Hospital, Kunming 650034, Yunnan Province, China
| | - Hong Shu
- Department of Dermatology, Kunming Children's Hospital, Kunming 650034, Yunnan Province, China
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10
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Lee KG, Choi W, Lim JS, Hahn HJ, Myung KB, Cheong SH. Syringocystadenocarcinoma Papilliferum: A Case Report and Review of the Literature. Ann Dermatol 2019; 31:559-562. [PMID: 33911649 PMCID: PMC7992554 DOI: 10.5021/ad.2019.31.5.559] [Citation(s) in RCA: 8] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2018] [Revised: 07/30/2018] [Accepted: 08/27/2018] [Indexed: 11/08/2022] Open
Abstract
Syringocystadenocarcinoma papilliferum (SCACP) is a rare malignant adnexal neoplasm, which is considered as a malignant counterpart of syringocystadenoma papilliferum (SCAP). Clinically, SCACP appears as a nodule, inflammatory plaque, or tumor. The lesion is usually covered with crusts, which are formed by secretion of the apocrine epithelial cells. Histologically, SCACP resembles SCAP, with cystic papillomatous invaginations connected to the skin surface by funnel-shaped structures lined by infundibular epithelium. The stroma of the tumor consists of a dense inflammatory infiltrate of plasma cells and lymphocytes. SCACP differs from SCAP in terms of the architectural and cytological features of the tumor cells, and is characterized by higher nuclear cytoplasmic ratio, nuclear irregularity, coarse chromatin, and increased mitotic activity. However, the immunohistochemical findings of SCACP vary. Since only 49 cases of SCACP have been reported in the English literature, the clinical and histologic characteristics of SCACP have not been fully established. Further studies on the diagnostic criteria for SCACP are warranted. Here, we report a rare case of SCACP and present a review of other relevant literature.
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Affiliation(s)
- Kyoung Geun Lee
- Department of Dermatology, College of Medicine, Konyang University, Daejeon, Korea
| | - Won Choi
- Department of Dermatology, College of Medicine, Konyang University, Daejeon, Korea
| | - Joon Soo Lim
- Department of Dermatology, College of Medicine, Konyang University, Daejeon, Korea
| | - Hyung Jin Hahn
- Department of Dermatology, College of Medicine, Konyang University, Daejeon, Korea
| | - Ki Bum Myung
- Department of Dermatology, College of Medicine, Konyang University, Daejeon, Korea
| | - Seung Hyun Cheong
- Department of Dermatology, College of Medicine, Konyang University, Daejeon, Korea
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11
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Al Hawsawi K, Alharazi A, Ashary A, Siddique A. Syringocystadenoma Papilliferum: A Case Report and Review of the Literature. Case Rep Dermatol 2019; 11:36-39. [PMID: 32355486 PMCID: PMC7184794 DOI: 10.1159/000497054] [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: 12/04/2018] [Accepted: 01/17/2019] [Indexed: 11/19/2022] Open
Abstract
Syringocystadenoma papilliferum is a very rare, benign adnexal tumor that originates from the apocrine sweat glands. Herein, we report a 25-year-old male who presented with a 10-year history of an asymptomatic slowly growing skin lesion on his face. Skin examination revealed a solitary rounded 3 × 3 cm erythematous plaque with central crustation on the right side of his face. Punch skin biopsy was taken from the lesion. The epidermis showed downward papillomatous extensions. The dermis showed multiple epithelial sheets and dilated ducts that were lined by columnar cells. On the basis of the above clinicopathological findings, the diagnosis of syringocystadenoma papilliferum was made. The patient was reassured and referred to a surgeon for surgical excision of the lesion.
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Affiliation(s)
- Khalid Al Hawsawi
- Dermatology Department, King Abdul Aziz Hospital, Makkah, Saudi Arabia
| | - Amani Alharazi
- College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Abeer Ashary
- Dermatology Department, King Abdul Aziz Hospital, Makkah, Saudi Arabia
| | - Asmaa Siddique
- Dermatology Department, King Abdul Aziz Hospital, Makkah, Saudi Arabia
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12
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Tseng MC, Amin B, Barmettler A. Eyelid syringocystadenoma papilliferum: A novel presentation with major review. Orbit 2017; 37:171-174. [PMID: 29053036 DOI: 10.1080/01676830.2017.1383477] [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: 10/18/2022]
Abstract
A major review of the literature of syringocystadenoma papilliferum's (SCAP's) presentation and management is presented. In addition, a case report of this unique diagnosis presenting as a corneal abrasion in a 66-year-old-male is included. This benign adnexal tumor of the apocrine glands is most commonly found in the face and neck. When found on the eyelids, these lesions are commonly misdiagnosed as basal cell carcinoma or cysts. Diagnosis is made based on histopathology. Treatment is complete excision of the lesion and this has a low recurrence rate. While predominantly benign, there have been cases of basal cell carcinoma development or other malignant transformations. Of the 26 reported cases of SCAP of the eyelids, none have caused a corneal abrasion. The authors present the only known presentation of eyelid SCAP, causing corneal abrasions, and provide a review of literature with discussion of clinical presentation, natural history, diagnosis, and treatment of this rare, eyelid lesion with potential for malignant transformation.
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Affiliation(s)
- Michael C Tseng
- a Department of Ophthalmology and Visual Sciences , Montefiore Medical Center, Albert Einstein College of Medicine , Bronx , NY , USA
| | - Bijal Amin
- b Department of Pathology, Montefiore Medical Center , Albert Einstein College of Medicine , Bronx , NY , USA
| | - Anne Barmettler
- a Department of Ophthalmology and Visual Sciences , Montefiore Medical Center, Albert Einstein College of Medicine , Bronx , NY , USA
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13
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Ayadi L, Mallouli M, Kallel R, Charfi S, Makni S, Boudawara TS, Gouiaa N. [Tubulo-papillary apocrine adenoma in association with syringocystadenoma papilliferum]. Ann Pathol 2016; 36:355-357. [PMID: 27693311 DOI: 10.1016/j.annpat.2016.08.012] [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: 08/04/2016] [Accepted: 08/09/2016] [Indexed: 11/29/2022]
Abstract
Tubulo-papillary apocrine adenoma (TAA) is a very rare sweat gland tumor. TAA in association with syringocystadenoma papilliferum (SCP) is exceptional. A 2-year-old Tunisian child developed a mixed tumor on the scalp: TAA in association with SCP. Histologically, the tumor consisted of dilated duct-like areas with some apocrine gland-like areas. The superficial part of the tumor was connected to the epidermis and showed the characteristics of SCP. The characteristics and differences in histopathologic and immunohistochemical findings in this mixed tumor are described.
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Affiliation(s)
- Lobna Ayadi
- Laboratoire d'anatomie et de cytologie pathologiques, CHU Habib Bourguiba, route El Ain Km 0.5, 3029 Sfax, Tunisie.
| | - Manel Mallouli
- Laboratoire d'anatomie et de cytologie pathologiques, CHU Habib Bourguiba, route El Ain Km 0.5, 3029 Sfax, Tunisie
| | - Rim Kallel
- Laboratoire d'anatomie et de cytologie pathologiques, CHU Habib Bourguiba, route El Ain Km 0.5, 3029 Sfax, Tunisie
| | - Slim Charfi
- Laboratoire d'anatomie et de cytologie pathologiques, CHU Habib Bourguiba, route El Ain Km 0.5, 3029 Sfax, Tunisie
| | - Saadia Makni
- Laboratoire d'anatomie et de cytologie pathologiques, CHU Habib Bourguiba, route El Ain Km 0.5, 3029 Sfax, Tunisie
| | - Tahya Sellami Boudawara
- Laboratoire d'anatomie et de cytologie pathologiques, CHU Habib Bourguiba, route El Ain Km 0.5, 3029 Sfax, Tunisie
| | - Naourez Gouiaa
- Laboratoire d'anatomie et de cytologie pathologiques, CHU Habib Bourguiba, route El Ain Km 0.5, 3029 Sfax, Tunisie
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Abstract
Nevus sebaceous is known by its association with one or more secondary tumors, but more than three multiple tumors arising from a nevus sebaceous is extremely rare. A 67-year-old female presented with a light brown plaque on the back of her head that contained a dome-shaped black node and an erosive lesion. Histopathological examination showed atypical basaloid cells in the black node. At the periphery of that node, structures resembling follicular germs extruded from interlacing cords in the upper portion and tumor nests with sebocytes were in the lower portion. In the erosive lesion, papillated structures with an apocrine epithelium were observed. In the light brown plaque, enlargement of sebaceous lobules was noted. From those histopathological features, a diagnosis of syringocystadenoma papilliferum, sebaceoma, trichoblastoma and basal cell carcinoma arising from a nevus sebaceous was made. We discuss the rarity of multiple tumors arising from a nevus sebaceous.
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Affiliation(s)
- Takeshi Namiki
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Keiko Miura
- Department of Pathology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Makiko Ueno
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Yumi Arima
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Aya Nishizawa
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Hiroo Yokozeki
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
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15
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Shen AS, Peterhof E, Kind P, Rütten A, Zelger B, Landthaler M, Berneburg M, Hafner C, Groesser L. Activating mutations in the RAS/mitogen-activated protein kinase signaling pathway in sporadic trichoblastoma and syringocystadenoma papilliferum. Hum Pathol 2014; 46:272-6. [PMID: 25532942 DOI: 10.1016/j.humpath.2014.11.002] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2014] [Revised: 10/24/2014] [Accepted: 11/01/2014] [Indexed: 10/24/2022]
Abstract
Trichoblastoma (TB) and syringocystadenoma papilliferum (SCAP) are both rare adnexal skin lesions occurring either sporadically or as secondary neoplasms in sebaceous nevi. TB and SCAP associated with sebaceous nevi have been shown to carry the same HRAS mutation as the underlying nevus. However, the genetic background of sporadic TB and SCAP has remained unknown. Therefore, we screened 18 sporadic TBs and 23 sporadic syringocystadenoma papillifera from 41 patients for the presence of activating mutations in RAS genes and other oncogenes. Using a RAS SNaPshot assay, HRAS mutations were detected in 2 (11%) of 18 sporadic TB and 6 (26%) of 23 sporadic syringocystadenoma papillifera. A KRAS mutation was identified in 1 sporadic SCAP. High-throughput oncogene mutation profiling furthermore identified BRAF V600E mutations in sporadic syringocystadenoma papillifera, which could be validated in 12 (52%) of 23 lesions using a BRAF SNaPshot assay. BRAF and RAS mutations were mutually exclusive in sporadic syringocystadenoma papillifera. No BRAF mutation could be detected in 3 syringocystadenoma papillifera secondarily arisen from a sebaceous nevus as well as in sporadic TB. In 14 lesions carrying an oncogenic mutation, nonlesional control tissue from the epidermal margin revealed a wild-type sequence, thus proving the somatic character of the mutation. Our results indicate that activation of the RAS-mitogen-activated protein kinase pathway by BRAF and RAS mutations contributes significantly to the tumorigenesis of sporadic SCAP and, less frequently, of sporadic TB.
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Affiliation(s)
- Anne-Sophie Shen
- Department of Dermatology, University of Regensburg, 93053 Regensburg, Germany
| | - Eva Peterhof
- Department of Dermatology, University of Regensburg, 93053 Regensburg, Germany
| | - Peter Kind
- Dermatohistological Laboratory Prof. Kind, 63065 Offenbach, Germany
| | - Arno Rütten
- Dermatopathology Friedrichshafen, 88048 Friedrichshafen, Germany
| | - Bernhard Zelger
- Department of Dermatology and Venerology, Medical University Innsbruck, 6020 Innsbruck, Austria
| | - Michael Landthaler
- Department of Dermatology, University of Regensburg, 93053 Regensburg, Germany
| | - Mark Berneburg
- Department of Dermatology, University of Regensburg, 93053 Regensburg, Germany
| | - Christian Hafner
- Department of Dermatology, University of Regensburg, 93053 Regensburg, Germany; Dermatohistological Laboratory, Sonnenstr. 7, 80331 Munich, Germany
| | - Leopold Groesser
- Department of Dermatology, University of Regensburg, 93053 Regensburg, Germany.
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16
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Abstract
Syringocystadenoma papilliferum is a benign hamartomatous adnexal tumour. Most of the patients present with solitary lesions in the head and neck region at birth or in early childhood. Multiple lesions are rarely seen and those which arise outside the head and neck region are even more uncommon. A case of syringocystadenoma papilliferum with multiple verrucous lesions and which was located in the right flank, an unusual site, has been presented.
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Affiliation(s)
- Ranjan Agrawal
- Professor, Department of Pathology, Rohilkhand Medical College Hospital , Bareilly, India
| | - Parbodh Kumar
- Professor and Head, Department of Pathology, Rohilkhand Medical College Hospital , Bareilly, India
| | - Rahul Varshney
- Assistant Professor, Department of Pathology, Rohilkhand Medical College Hospital , Bareilly, India
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17
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Gozel S, Donmez M, Akdur NC, Yikilkan H. Development of six tumors in a sebaceus nevus of jadassohn: report of a case. Korean J Pathol 2013; 47:569-74. [PMID: 24421851 PMCID: PMC3887160 DOI: 10.4132/koreanjpathol.2013.47.6.569] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [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: 10/15/2011] [Revised: 02/02/2012] [Accepted: 02/06/2012] [Indexed: 11/18/2022]
Abstract
Nevus sebaceus of Jadassohn is a congenital cutaneous hamartoma comprised of multiple skin structures. It has the potential to develop into variety of neoplasms of various epidermal adnexal origins. While multiple tumors may occasionally arise, it is unusual for more than four tumors to arise simultaneously within a single sebaceus nevus. Here in, we report a case of a 70-year-old woman with six neoplastic proliferations including a syringocystadenoma papilliferum, pigmented trichoblastoma, tubular apocrine adenoma, sebaceoma, tumors of follicular infundibulum and superficial epithelioma with sebaceus differentiation arising in a long standing nevus sebaceus on the scalp. Our case is extraordinary because a single nevus sebaceus contained six neoplastic proliferations with differentiation toward the folliculosebaceous-apocrine unit.
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Affiliation(s)
- Serap Gozel
- Department of Pathology, Ankara Training and Research Hospital, Ankara, Turkey
| | - Melahat Donmez
- Department of Pathology, Ankara Training and Research Hospital, Ankara, Turkey
| | - Noyan Can Akdur
- Department of Pathology, Ankara Training and Research Hospital, Ankara, Turkey
| | - Hulya Yikilkan
- Department of Family Medicine, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey. ; Department of Family Medicine, University of Antwerp, Antwerp, Belgium
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18
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Lee HJ, Cho E, Kim MH, Cho SH, Lee JD. Syringocystadenoma papilliferum of the back combined with a tubular apocrine adenoma. Ann Dermatol 2011; 23:S151-4. [PMID: 22148038 PMCID: PMC3229053 DOI: 10.5021/ad.2011.23.s2.s151] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2010] [Revised: 12/10/2010] [Accepted: 12/30/2010] [Indexed: 12/03/2022] Open
Abstract
Syringocystadenoma papilliferum (SCAP) and tubular apocrine adenoma (TAA) are rare benign sweat gland tumors. SCAP and TAA may have a histopathologic overlap, but few cases of a SCAP combined with a TAA have been reported. Herein we describe an unusual case of a SCAP co-existing with a TAA located on the back of a 12-year-old girl.
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Affiliation(s)
- Hyun Joo Lee
- Department of Dermatology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea
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19
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Yoon JH, Ahn HH, Kye YC, Seo SH. Syringocystadenoma Papilliferum in Co-existence with Tubular Apocrine Adenoma on the Calf. Ann Dermatol 2011; 23:S175-8. [PMID: 22148043 PMCID: PMC3229058 DOI: 10.5021/ad.2011.23.s2.s175] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2010] [Revised: 01/26/2011] [Accepted: 01/26/2011] [Indexed: 11/24/2022] Open
Abstract
Syringocystadenoma papilliferum (SCAP) occurs singly or in association with other tumors. Although it is rare, the association of tubular apocrine adenoma (TAA) with SCAP in the background of nevus sebaceous (NS) on the scalp is well documented. However, the co-existence of these two tumors without background of NS has not been reported on the extremities. We report a case of SCAP associated with TAA on the calf without pre-existing NS in an adult.
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Affiliation(s)
- Jung Hee Yoon
- Department of Dermatology, Korea University College of Medicine, Seoul, Korea
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20
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Kim MS, Lee JH, Lee WM, Son SJ. A Case of Tubular Apocrine Adenoma with Syringocystadenoma Papilliferum that Developed in a Nevus Sebaceus. Ann Dermatol 2010; 22:319-22. [PMID: 20711270 DOI: 10.5021/ad.2010.22.3.319] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [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: 06/29/2009] [Revised: 08/07/2009] [Accepted: 08/12/2009] [Indexed: 11/08/2022] Open
Abstract
Tubular apocrine adenoma (TAA) is a very rare sweat gland tumor. TAA and syringocystadenoma papilliferum (SCAP) rarely develop together in a nevus sebaceus (NS). Herein, we report on a 40-year-old Korean woman with TAA associated with SCAP that developed in a NS located on the scalp.
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Affiliation(s)
- Mi Sun Kim
- Department of Dermatology, Eulji Medical Center, College of Medicine, Eulji University, Seoul, Korea
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