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Year : 2016  |  Volume : 7  |  Issue : 4  |  Page : 272-274

Cystic acantholytic dyskeratosis of the vulva: An unusual presentation of a follicular adnexal neoplasm

Department of Dermatology-Dermatopathology, The Ackerman Academy of Dermatopathology, New York City, New York, USA

Correspondence Address:
Kara Melissa Tiangco Torres
145 East, 32nd Street, 10th Floor, New York-10016
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2229-5178.185482

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Acantholytic dyskeratosis (AD) is a histologic pattern seen in Darier's disease or dyskeratosis follicularis, warty dyskeratoma, and transient AD. This pattern is characterized by suprabasilar clefting, acantholysis, and formation of corps ronds and grains. We present a case of AD that is unique based on its genital location and cystic architecture. A 53-year-old woman presented with an otherwise asymptomatic cyst on her left vulva of uncertain duration. On microscopic examination, there were fragments of cystic epithelium with areas of hypergranulosis, acantholysis, corps ronds, and corps grains formation. These features are felt by the authors to be a unique presentation of a follicular adnexal neoplasm.

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