Jisun Cha MD FAAD Profile picture
Nov 1, 2022 5 tweets 6 min read Read on X
Another case to discuss, Cylindroma on 91yo female abdomen. it’s multiple in dermatomal distribution with extreme pain. There is this nerve entrapment at the base of the section. Histology seems benign but somewhat infiltrated nodules at the base. Q below #dermpath #derm ImageImageImage
It is challenging to treat, and also a concern if this is malignant based on clinical behavior. I am suggesting to excise the prominent nodules with local radiation for the rest of small nodules in the region. Any other thoughts ?
This patient has no history of syndromic features, but she had to remove 2 ft intestines in the past(I couldn’t get the detail but assume obstruction or diverticulitis).

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More from @sunpungi

Aug 6, 2022
Dome shaped papule with central ulcer and massive necrosis, prominent cytoplasmic ballooning degeneration of epithelial cells noted in peripheral edges of the papule.
The ballooning degeneration mainly occurred in the lower part of the epidermis, underlying dermis is necrotic with vascular occlusion and dense inflammation.
Read 5 tweets

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