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Atypical Fibroxanthoma Demonstrating HMB45+ Staining.

Vikram N Sahni1, Dev R Sahni2, David S Cassarino3

  • 1College of Medicine, Drexel University, Philadelphia, PA.

The American Journal of Dermatopathology
|June 16, 2021
PubMed
Summary

Atypical fibroxanthoma (AFX) diagnosis can be challenging. This case highlights a rare HMB45-positive AFX, emphasizing caution when using single immunohistochemical markers for diagnosis.

Area of Science:

  • Dermatopathology
  • Oncology
  • Histopathology

Background:

  • Atypical fibroxanthoma (AFX) is a superficial fibrohistiocytic tumor.

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  • AFX is typically diagnosed by exclusion, ruling out melanoma and sarcomas.
  • Commonly, AFX expresses CD68 and smooth muscle actin, and is negative for melanocytic markers like HMB45 and S100.