Membranous type Basal Cell Adenoma (BCA).
🧨 Morphologically identical to cutaneous cylindroma, hence aka dermal analogue tumor.
🧨 This is a unique morphologic subtype that one should be aware of.
Why? Read below. #ENTpath
#pathology #pathboards #S&L 1/3
🧨 Because this particular subtype can be multifocal.
🧨 This can be associated with Brooke Spiegler syndrome, a rare AD disease caused by mutation of CYLD gene on chr 16.
🧨 This has a higher rate of local recurrence (25%) than other subtypes. 2/3
🧨 And this has high propensity for transformation into a basal cell adenocarcinoma.
🔬 Islands of basaloid cells surrounded by eosinophilic hyaline material, jigsaw puzzle like pattern & peripheral palisading.
3/3 #S&L

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