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A hair follicle or HF is a small part of the skin that produces the hair shaft. Paul Gerson Unna was the first to observe a bulge in the human hair follicle's outer root sheath (ORS). The bulge is present between the sebaceous gland and the arrector pili muscle and is the niche for hair follicle stem cells (HFSCs). The bulge is also a niche for melanocyte stem cells, and their loss results in graying of hair. The HFSCs express Sox9 and Lhx2, which help them maintain stemness and prevent...
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Basaloid follicular hamartoma.

Omie Mills1, L Brannon Thomas

  • 1Department of Pathology and Cell Biology, University of South Florida, Palmetto, FL 34221, USA. omills@health.usf.edu

Archives of Pathology & Laboratory Medicine
|July 31, 2010
PubMed
Summary

Basaloid follicular hamartoma, a benign skin lesion, can mimic basal cell carcinoma. Research explores its potential premalignant nature and links to patched gene mutations, guiding monitoring and treatment.

Area of Science:

  • Dermatology
  • Oncology
  • Genetics

Background:

  • Basaloid follicular hamartoma (BFH) is a benign skin neoplasm.
  • BFH can be clinically and histologically misdiagnosed as basal cell carcinoma (BCC).
  • BFH shares a genetic pathway (patched gene mutation) with nevoid basal cell carcinoma syndrome.

Purpose of the Study:

  • To evaluate the premalignant potential of basaloid follicular hamartoma.
  • To differentiate BFH from basal cell carcinoma.
  • To review current and experimental treatment strategies for BFH.

Main Methods:

  • Review of clinical and histological features of BFH.
  • Analysis of genetic links, including patched gene mutations.
  • Examination of reported cases of malignant transformation within BFH.

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Main Results:

  • BFH requires careful differentiation from BCC due to potential for malignant transformation.
  • Patched gene mutations are implicated in BFH development.
  • Malignant changes within BFH highlight the need for vigilant monitoring.

Conclusions:

  • BFH may possess premalignant potential, necessitating accurate diagnosis and surveillance.
  • Understanding the genetic basis of BFH aids in risk assessment.
  • Appropriate management strategies are crucial for patients with BFH.