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A fleshy protuberant growth on the leg
2 Department of Pathology, National Institute of Pathology, Indian Council of Medical Research, New Delhi, India
Correspondence Address:
Sarvesh Sunil Thatte
Department of Dermatology, Venereology and Leprosy, Dr. P.N. Behl Skin Institute and School of Dermatology, New Delhi - 110 048
India
How to cite this article: Bhushan P, Thatte SS, Singh A. A fleshy protuberant growth on the leg. Indian J Dermatol Venereol Leprol 2015;81:652-653 |
An 18-year-old boy presented with an asymptomatic, occasionally bleeding, flesh colored growth on his left leg for 10 years. A well-defined, 3 cm × 4 cm, flesh colored, sessile, soft, mobile, non-tender, nodule was noted on the left calf. The nodule protruded slightly from a shallow cup-shaped depression and had a slightly raised hyperpigmented rim. There was scaling and crusting of the surrounding skin because of repeated cleaning of the growth and surrounding area with undiluted 10% povidone-iodine solution [Figure - 1]. There were no other abnormalities on mucocutaneous examination.
Figure 1: Central mass projecting out of the cup-shaped moat |
Histopathological examination revealed a well circumscribed tumor arising from the epidermis in the form of broad and anastomosing columns of basaloid cells along with necrosis en masse and a fibrovascular stroma [Figure - 2]. Medium power revealed small and uniform oval cells with a central nucleus, some ductal lumina and a fibrovascular core [Figure - 3].
Figure 2: A well circumscribed tumor arising from epidermis consisting of broad and anastomosing columns of basaloid cells along with necrosis en masse (arrow) (H and E, ×40) |
Figure 3: Small and uniform oval cells with central nucleus and some ductal lumina (H and E, ×100) |
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