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Year : 2014  |  Volume : 5  |  Issue : 3  |  Page : 354-355  

SkIndia Quiz 14: Solitary painful skin-colored nodule over the chest

Department of Dermatology, Medical College and Hospital, Kolkata, West Bengal, India

Date of Web Publication31-Jul-2014

Correspondence Address:
Anupam Das
"Prerana" 19, Phoolbagan, Kolkata - 700 086, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2229-5178.131263

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How to cite this article:
DebBarman P, Das A, Shome K, Gharami RC. SkIndia Quiz 14: Solitary painful skin-colored nodule over the chest. Indian Dermatol Online J 2014;5:354-5

How to cite this URL:
DebBarman P, Das A, Shome K, Gharami RC. SkIndia Quiz 14: Solitary painful skin-colored nodule over the chest. Indian Dermatol Online J [serial online] 2014 [cited 2021 Oct 24];5:354-5. Available from: https://www.idoj.in/text.asp?2014/5/3/354/131263

A 25-year-old gentleman presented with a solitary painful mass on the right side of the lower chest for 3 years. There was no itching or history of bleeding from the lesion, neither any history of local trauma or other associated lesions. His past history and family history was unremarkable. On examination, a solitary, sharply demarcated, skin-colored, 0.5 Χ 1.5 cm, tender small nodule, soft-to-firm in consistency with smooth surface was found [Figure 1]. His general and systemic examination was normal with no lymphadenopathy. Histopathological examination was done. Under low power [Figure 2], single sharply defined bluish lobulated mass in the dermis was appreciated. Higher magnification image [Figure 3] showed intertwining epithelial cords. In addition, masses composed of granular eosinophilic material lined by two varieties of cells was also found. The cells close to center of the lobule comprised of large pale-colored nuclei and those toward the periphery had small darker nuclei.
Figure 1: Reddish brown, oval-shaped indurated nodule at the right lateral chest (close-up view)

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Figure 2: Single, sharply defined, bluish encapsulated mass in the dermis (H and E, ×40)

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Figure 3: Intertwining cords of epithelial cells and multiple ductal lumina containing pink granular material, surrounded by epithelial cells having large pale nuclei at the luminal side and dark small nuclei at the periphery (H and E, ×100)

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   What is the Diagnosis? Top

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   References Top

1.Naversen Dn, Trask DM, Watson FH, Burket JM. Painful tumours of the skin "BLEND AN EGG". J Am Acad Dermatol 1993;28:298-300.  Back to cited text no. 1
2.Kersting DW, Helwig EB. Eccrine spiradenoma. Arch Dermatol 1956;73:199-227.  Back to cited text no. 2
3.Bumgardner AC, Hsu S, Nunez-Gussman JK, Schwartz MR. Trichoepitheliomas and eccrine spiradenomas with spiradenoma/cylindroma overlap. Int J Dermatol 2005;44:415-7.  Back to cited text no. 3
4.Martins C, Bartolo E. Brooke-Spiegler syndrome: Treatment of cylindromas with CO2 laser. Dermatol Surg 2000;26:877-80.  Back to cited text no. 4


  [Figure 1], [Figure 2], [Figure 3]


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