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SKINDIA QUIZ
Year : 2019  |  Volume : 10  |  Issue : 1  |  Page : 79-81  

SkinIndia Quiz 49: Pigmented nodular growth of the nose


Department of Oral and Maxillofacial Pathology, NIMS Dental College, Jaipur, Rajasthan, India

Date of Web Publication14-Jan-2019

Correspondence Address:
Manas Bajpai
Department of Oral and Maxillofacial Pathology, NIMS Dental College, Jaipur, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5178.245059

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How to cite this article:
Bajpai M, Pardhe N. SkinIndia Quiz 49: Pigmented nodular growth of the nose. Indian Dermatol Online J 2019;10:79-81

How to cite this URL:
Bajpai M, Pardhe N. SkinIndia Quiz 49: Pigmented nodular growth of the nose. Indian Dermatol Online J [serial online] 2019 [cited 2019 Jun 27];10:79-81. Available from: http://www.idoj.in/text.asp?2019/10/1/79/245059



Sir,

An otherwise healthy 51 year old male presented to our institute for the evaluation of a painless swelling on the right side of his nose from 3 years. It was initially small and gradually reached the current size. Clinical examination revealed a solitary swelling on the right side of the nose, extending from the right lateral wall of the nose to the nasofacial angle and measuring approximately 3 × 2 cm. The color of the swelling was similar to the adjacent skin with hyperpigmentation on one part with brownish color of the overlying skin and depigmentation on another part [Figure 1]. On palpation, the swelling was found to be soft-to-firm, nontender, and flexible. No signs of ulceration and discharge were noted.
Figure 1: Clinical picture of the lesion on the right side of the nose

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Lateral rhinotomy of the lesion was done under general anesthesia and the excised tissue was sent to the department of Oral and Maxillofacial Pathology for microscopic evaluation. The follow-up period of 1 year was uneventful.

Histopathological examination of hematoxylin and eosin-stained soft tissue section revealed a well-encapsulated mass [Figure 2]. The fibrocellular connective tissue stroma revealed nodules of mature adipocytes separated by numerous spindle-shaped cells having pale eosinophilic cytoplasm [Figure 3]. Immunohistochemical examination revealed a strong positive expression of CD34 for spindle-shaped cells [Figure 4].
Figure 2: A well-encapsulated lesion [Hematoxylin and eosin staining (×4)]

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Figure 3: Admix of mature adipocytes and pale spindle-shaped cells in a fibrocellular connective tissue stroma [Hematoxylin and eosin staining (×20)]

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Figure 4: Diffuse positive expression of CD34 in spindle-shaped cells (×4)

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   Question Top


What is your diagnosis?



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   References Top

1.
Agarwal S, Nangia A, Jyotsna PL, Pujani M. Spindle cell lipoma masquerading as lipomatous pleomorphic adenoma: A diagnostic dilemma on fine needle aspiration cytology. J Cytol 2013;30:55-7.  Back to cited text no. 1
[PUBMED]  [Full text]  
2.
Bajpai M, Kumar M, Agarwal D, Agrawal S, Gupta S, Kumar M. Osteolipoma of the palate-An unusual presentation. Natl J Maxillofac Surg 2014;5:250-1.  Back to cited text no. 2
[PUBMED]  [Full text]  
3.
Mandal RV, Duncan LM, Austen WG, Nielsen GP. Infiltrating intramuscular spindle cell lipoma of face. J Cutan Pathol 2009;36:70-3.  Back to cited text no. 3
    
4.
Enzinger FM, Harvey DA. Spindle cell lipoma. Cancer 1975;36:1852-9.  Back to cited text no. 4
    
5.
Deeplakshami T, Devan PP, Kavitha Ashok K, Rukma B. A rare case of spindle cell lipoma of the nose. J Surg Tech Case Rep 2012;4:110-1.  Back to cited text no. 5
    


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

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