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SKINDIA QUIZ
Year : 2011  |  Volume : 2  |  Issue : 2  |  Page : 131-132  

SkIndia Quiz 4 - Asymptomatic sessile skin colored nodule over columella of nose


Department of Dermatology, Seth G.S. Medical College and King Edward Memorial Hospital, Mumbai, India

Date of Web Publication14-Oct-2011

Correspondence Address:
Uday Khopkar
Department of Dermatology, Seth GS Medical College and KEM Hospital, Parel, Mumbai-400 012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5178.82870

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How to cite this article:
Gutte R, Garg G, Doshi B, Kharkar V, Khopkar U. SkIndia Quiz 4 - Asymptomatic sessile skin colored nodule over columella of nose. Indian Dermatol Online J 2011;2:131-2

How to cite this URL:
Gutte R, Garg G, Doshi B, Kharkar V, Khopkar U. SkIndia Quiz 4 - Asymptomatic sessile skin colored nodule over columella of nose. Indian Dermatol Online J [serial online] 2011 [cited 2019 Oct 18];2:131-2. Available from: http://www.idoj.in/text.asp?2011/2/2/131/82870

A 38-year-old male presented with an asymptomatic, skin-colored nodule over the columella of his nose since one year which had gradually increased to the present size. There was no history of trauma, oozing, crusting or similar lesions elsewhere, nor was there any family history of similar lesions. Examination revealed a single, skin-colored, soft, nontender, sessile nodule, measuring 1.5 × 1 cm in size over the left side of the nasal columella [Figure 1]. The rest of the cutaneous and systemic examination was within normal limits. An excision biopsy was performed [Figure 2] and [Figure 3].
Figure 1: Soft, sessile, skin colored nodule over columella of nose

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Figure 2: Well circumscribed poorly encapsulated multiple dermal nodules of spindle cells with prominent clefts (H and E, High Power)

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Figure 3: Spindled cells arranged in interlacing fascicles and nuclear palisades (H and E, Low Power)

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1.Jokinen CH, Ragsdale BD, Argenyi ZB. Expanding the clinicopathologic spectrum of palisaded encapsulated neuroma. J Cutan Pathol 2010;37:43-8.  Back to cited text no. 1
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2.Moore RL, White CR. Multiple palisaded encapsulated neuromas in a child without other associated abnormalities. J Am Acad Dermatol 2010;62:358-9.  Back to cited text no. 2
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3.Kim KJ, Han SS, Lee MW, Choi JH, Moon KC, Koh JK. A freely movable subcutaneous nodule on dorsum of the hand-quiz case. Arch Dermatol 2004;140:1003-8.  Back to cited text no. 3
    
4.Mentzel T, Bocker T, Wollina U. Solitory circumscribed neuroma of the skin (so called palisaded encapsulated neuroma). Clinicopathological analysis of three cases with emphasis on differential diagnosis. J Eur Acad Dermatol Venereol 1996;6:179-86.  Back to cited text no. 4
    
5.Argenyi ZB, Cooper PH, Santa Cruz D. Plexiform and other unusual variants of palisaded encapsulated neuroma. J Cutan Pathol 1993;20:34-9.  Back to cited text no. 5
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6.Argenyi ZB. Immunohistochemical characterization of palisaded, encapsulated Neuroma. J Cutan Pathol 1990;17:329-35.  Back to cited text no. 6
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