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Cutaneous angiomyolipoma

J F Val-Bernal1, C Mira

  • 1Anatomical Pathology Department, Marqués de Valdecilla University Hospital, Medical Faculty, University of Cantabria, Santander, Spain.

Journal of Cutaneous Pathology
|August 1, 1996
PubMed
Summary
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Extrarenal angiomyolipomas are rare skin tumors. This case report details a unique ear lobe angiomyolipoma, highlighting differences from renal forms.

Area of Science:

  • Dermatology
  • Pathology
  • Oncology

Background:

  • Extrarenal angiomyolipomas are uncommon mesenchymal tumors.
  • Cutaneous angiomyolipomas present distinct characteristics compared to their renal counterparts.

Observation:

  • A case of a 49-year-old male with an angiomyolipoma on the right ear lobe is presented.
  • Pathologic examination revealed a well-circumscribed 2 cm subcutaneous nodule.
  • Immunohistochemistry confirmed tumor components, with negative HMB-45 reactivity.

Findings:

  • A review of 13 cases (including this one) showed a patient age range of 33-77 years (mean 53.6).
  • The male to female ratio was 11:1, with tumors typically solitary, asymptomatic, and noninvasive.
  • Common locations include acral skin and the ear; tuberous sclerosis signs were absent in all cases.

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Implications:

  • Cutaneous angiomyolipomas differ from renal forms in sex predominance, clinical associations, and HMB-45 immunoreactivity.
  • Distinguishing these lesions from other mesenchymal tumors relies on established histologic criteria.
  • This case contributes to understanding the spectrum of angiomyolipomas in extrarenal locations.