|Year : 2018 | Volume
| Issue : 2 | Page : 133-134
SkIndia Quiz 44: Growing asymptomatic nodule on the ear
Alyssa Miceli1, Ann Church2, Sarah Ferrer-Bruker1
1 Orange Park Medical Center Department of Dermatology, Orange Park, USA
2 Department of Dermatopathology, Aurora Diagnostics Bernhardt Laboratories, Jacksonviile, Florida, USA
|Date of Web Publication||19-Mar-2018|
Park Avenue Dermatology, 906 Park Avenue, Orange Park, Florida - 32073
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Miceli A, Church A, Ferrer-Bruker S. SkIndia Quiz 44: Growing asymptomatic nodule on the ear. Indian Dermatol Online J 2018;9:133-4
|How to cite this URL:|
Miceli A, Church A, Ferrer-Bruker S. SkIndia Quiz 44: Growing asymptomatic nodule on the ear. Indian Dermatol Online J [serial online] 2018 [cited 2021 Dec 5];9:133-4. Available from: https://www.idoj.in/text.asp?2018/9/2/133/223756
A 56-year-old Caucasian woman presented with a lesion on the right ear of 5-year duration. The site had undergone incision and drainage with no expression of contents followed by a complete excisional punch biopsy 4 years prior to presentation. The patient now presented with recurrence of the lesion, which she reported had been growing in size. Despite its growth, the lesion remained asymptomatic. Physical examination revealed a dermal nodule with a bluish hue and visible telangiectasias on the root of right ear, measuring 1.7 cm in size [Figure 1]. Histopathologic evaluation of a biopsy revealed a dermal-based, well-circumscribed lobulated tumor island composed of basophilic cells with little cytoplasm [Figure 2]a. Higher magnification showed two types of tumor cells – small, dark basaloid cells with scant cytoplasm and small nuclei and slightly larger cells with a more open nuclear chromatin pattern [Figure 2]b. The larger cells surrounded areas of focal ductal differentiation. No atypical features were identified.
|Figure 1: Dermal nodule with a bluish hue and visible telangiectases on the right root of the ear|
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|Figure 2: (a) Well-circumscribed lobulated tumor island composed of basophilic cells with little cytoplasm (H and E, original magnification ×20). (b) Close inspection revealing two cell types – small, dark basaloid cells with scant cytoplasm and slightly larger cells with a more open nuclear chromatin pattern. Scattered lymphocytes and hyaline deposits are noted in the tumor nodules (H and E, original magnification ×200)|
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| Question|| |
What is your diagnosis?
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[Figure 1], [Figure 2]