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[Pigmented or hemosiderotic atypical fibroxanthoma]
M A Pastor-Nieto1, L G Kilmurray, L Requena
1Servicio de Dermatología, Hospital General Universitario de Guadalajara, Guadalajara, España. mapastornieto@gmail.com
Actas Dermo-Sifiliograficas
|May 26, 2009
Summary
Pigmented atypical fibroxanthoma, a rare skin condition, presents as pigmented nodules in sun-exposed areas. Complete remission was observed in a case after surgical removal, highlighting effective treatment outcomes for this rare tumor.
Area of Science:
- Dermatopathology
- Oncology
Background:
- Pigmented atypical fibroxanthoma (PAFX) is a rare variant of atypical fibroxanthoma.
- PAFX typically affects elderly individuals and appears as irregularly pigmented, dome-shaped lesions on sun-exposed skin.
Observation:
- A case of PAFX on the cheek of an 81-year-old male patient is presented.
- The lesion exhibited extensive hemorrhage, erythrophagocytosis, and hemosiderin accumulation within neoplastic cells.
Findings:
- Surgical excision of the cheek lesion resulted in complete remission.
- The patient showed no signs of residual tumor or metastasis six years post-excision.
Implications:
- This case highlights the potential for successful surgical management of PAFX.
- Reviewing literature cases aids in understanding PAFX histopathology and differential diagnosis.
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