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A Case of Acantholytic Squamous Cell Carcinoma
Ji Yeon Lim1, Mi Ok Do1, Seong Hyun Kim2
1Department of Dermatology, School of Medicine, Ewha Womans University, Seoul, Korea.
Annals of Dermatology
|June 16, 2016
Summary
Acantholytic squamous cell carcinoma, a variant of squamous cell cancer, presents as a nodule on sun-exposed skin. This case report details its unique histological features and presentation in an elderly patient.
Area of Science:
- Dermatopathology
- Oncology
Background:
- Acantholytic squamous cell carcinoma (ASCC) is a rare variant of squamous cell carcinoma.
- It is characterized by pseudoglandular or tubular formations within the neoplastic proliferation.
Observation:
- ASCC typically presents as a nodule on sun-exposed skin in older individuals.
- Clinical features include scaling, crusting, and ulceration.
- Histologically, it shows epidermal-derived nests with focal or extensive loss of cell cohesion in glandular-like spaces.
Findings:
- The tumor cells are positive for EMA and cytokeratins.
- It is negative for dPAS, CEA, and mucicarmine, distinguishing it from eccrine neoplasms.
- This case report describes an 82-year-old woman with ASCC on her face.
Implications:
- Understanding the distinct histological and immunohistochemical profile of ASCC is crucial for accurate diagnosis.
- Differentiating ASCC from eccrine neoplasms is important for appropriate patient management.
- This case contributes to the literature on ASCC presentation and diagnosis.
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