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CASES FROM ACKERMAN ACADEMY
Year : 2016  |  Volume : 7  |  Issue : 2  |  Page : 117-118  

Irregular pigmented lesion on the genital area


1 Ackerman Academy of Dermatopathology, New York, NY, USA
2 Robert Wood Johnson Medical School, Pscataway, NJ, USA
3 Cosmetique Dermatology, Laser and Plastic Surgery, LLP. Greenvale, NY, USA

Date of Web Publication4-Mar-2016

Correspondence Address:
Dr. Dirk M Elston
Professor and Chairman, Department of Dermatology and Dermatologic Surgery Medical University of SC; MSC 578 135 Rutledge Avenue; 11th Floor Charleston, SC 29425-5780
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5178.178098

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How to cite this article:
Valdebran M, Parikh K, Sarnoff DS, Elston DM. Irregular pigmented lesion on the genital area. Indian Dermatol Online J 2016;7:117-8

How to cite this URL:
Valdebran M, Parikh K, Sarnoff DS, Elston DM. Irregular pigmented lesion on the genital area. Indian Dermatol Online J [serial online] 2016 [cited 2020 Apr 6];7:117-8. Available from: http://www.idoj.in/text.asp?2016/7/2/117/178098

A 56-year-old woman presented to the outpatient clinic with several months history of an irregular pigmented macule on her buttock [Figure 1]. A biopsy was performed [Figure 2] and [Figure 3].
Figure 1: Irregular pigmented macule on her buttock

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Figure 2: Epidermal disorganization with hyperproliferation and disorder of atypical keratinocytes (hematoxylin and eosin, x40)

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Figure 3: Higher power of view showing full-thickness anaplastic atypia, loss of polarity, buckshot scatter of atypical cells (hematoxylin and eosin, x100)

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The tumor most likely represents:

  1. Malignant melanoma
  2. Benign melanotic macule
  3. Pigmented Bowen's disease
  4. Pigmented Paget's disease
  5. Pigmented basal cell carcinoma




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   References Top

1.
Shimizu A, Tamura A, Abe M, Amano H, Motegi S, Nakatani Y, et al. Human papillomavirus type 56-associated Bowen disease. Br J Dermatol 2012;167:1161-4.  Back to cited text no. 1
    
2.
Al-Dawsari NA, Raslan W, Dawamneh MF. Pigmented Bowen's disease of the penis and scrotum in a patient with AIDS. Dermatol Online J 2014;20:22337.  Back to cited text no. 2
    
3.
Mota AN, Piñeiro-Maceira J, Alves Mde F, Tarazona MJ. Pigmented Bowen's disease. An Bras Dermatol 2014;89:825-7.  Back to cited text no. 3
    
4.
Firooz A, Farsi N, Rashighi-Firoozabadi M, Gorouhi F. Pigmented Bowen's disease of the finger mimicking malignant melanoma. Arch Iran Med 2007;10:255-7.  Back to cited text no. 4
    
5.
Morton CA, Birnie AJ, Eedy DJ. British Association of Dermatologists' guidelines for the management of squamous cell carcinoma in situ (Bowen's disease) 2014. Br J Dermatol 2014;170:245-60.  Back to cited text no. 5
    


    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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