Generic selectors
Exact matches only
Search in title
Search in content
Search in posts
Search in pages
Filter by Categories
15th National Conference of the IAOMFP, Chennai, 2006
Abstract
Abstracts from current literature
Acne in India: Guidelines for management - IAA Consensus Document
Addendum
Announcement
Art & Psychiatry
Article
Articles
Association Activities
Association Notes
Award Article
Book Review
Brief Report
Case Analysis
Case Letter
Case Letters
Case Notes
Case Report
Case Reports
Clinical and Laboratory Investigations
Clinical Article
Clinical Studies
Clinical Study
Commentary
Conference Oration
Conference Summary
Continuing Medical Education
Correspondence
Corrigendum
Cosmetic Dermatology
Cosmetology
Current Best Evidence
Current View
Derma Quest
Dermato Surgery
Dermatopathology
Dermatosurgery Specials
Dispensing Pearl
Do you know?
Drug Dialogues
e-IJDVL
Editor Speaks
Editorial
Editorial Remarks
Editorial Report
Editorial Report - 2007
Editorial report for 2004-2005
Errata
Erratum
Focus
Fourth All India Conference Programme
From Our Book Shelf
From the Desk of Chief Editor
General
Get Set for Net
Get set for the net
Guest Article
Guest Editorial
History
How I Manage?
IADVL Announcement
IADVL Announcements
IJDVL Awards
IJDVL AWARDS 2015
IJDVL Awards 2018
IJDVL Awards 2019
IJDVL Awards 2020
IJDVL International Awards 2018
Images in Clinical Practice
In Memorium
Inaugural Address
Index
Knowledge From World Contemporaries
Leprosy Section
Letter in Response to Previous Publication
Letter to Editor
Letter to the Editor
Letter to the Editor - Case Letter
Letter to the Editor - Letter in Response to Published Article
LETTER TO THE EDITOR - LETTERS IN RESPONSE TO PUBLISHED ARTICLES
Letter to the Editor - Observation Letter
Letter to the Editor - Study Letter
Letter to the Editor - Therapy Letter
Letter to the Editor: Articles in Response to Previously Published Articles
Letters to the Editor
Letters to the Editor - Letter in Response to Previously Published Articles
Letters to the Editor: Case Letters
Letters to the Editor: Letters in Response to Previously Published Articles
Medicolegal Window
Messages
Miscellaneous Letter
Musings
Net Case
Net case report
Net Image
Net Letter
Net Quiz
Net Study
New Preparations
News
News & Views
Obervation Letter
Obituary
Observation Letter
Observation Letters
Oration
Original Article
ORIGINAL CONTRIBUTION
Original Contributions
Pattern of Skin Diseases
Pearls
Pediatric Dermatology
Pediatric Rounds
Perspective
Presedential Address
Presidential Address
Presidents Remarks
Quiz
Recommendations
Regret
Report
Report of chief editor
Report of Hon : Treasurer IADVL
Report of Hon. General Secretary IADVL
Research Methdology
Research Methodology
Resident page
Resident's Page
Resident’s Page
Residents' Corner
Residents' Corner
Residents' Page
Retraction
Review
Review Article
Review Articles
Revision Corner
Self Assessment Programme
SEMINAR
Seminar: Chronic Arsenicosis in India
Seminar: HIV Infection
Short Communication
Short Communications
Short Report
Special Article
Specialty Interface
Studies
Study Letter
Supplement-Photoprotection
Supplement-Psoriasis
Symposium - Contact Dermatitis
Symposium - Lasers
Symposium - Pediatric Dermatoses
Symposium - Psoriasis
Symposium - Vesicobullous Disorders
SYMPOSIUM - VITILIGO
Symposium Aesthetic Surgery
Symposium Dermatopathology
Symposium-Hair Disorders
Symposium-Nails Part I
Symposium-Nails-Part II
Tables
Technology
Therapeutic Guidelines
Therapeutic Guidelines - IADVL
Therapeutics
Therapy
Therapy Letter
View Point
Viewpoint
What’s new in Dermatology
View/Download PDF
Quiz
2015:81:2;221-223
doi: 10.4103/0378-6323.152314
PMID: 25751358

An asymptomatic swelling on the neck

Swagata Tambe1 , Shylaja Someshwar1 , Ami Dedhia1 , Raviraj Jadhav2 , Kalpana Bhatt3 , Hemangi Jerajani1
1 Department of Dermatology, M. G. M. Medical College and Hospital, Kamothe, Navi Mumbai, India
2 Department of Surgery, M. G. M. Medical College and Hospital, Kamothe, Navi Mumbai, India
3 Consultant Radiologist at UBM Institute and Bhatt Sonography Center, Dadar - East, Mumbai, India

Correspondence Address:
Swagata Tambe
19/558, Udyan Society, Nehru Nagar, Kurla, Mumbai - 400 024, Maharashtra
India
How to cite this article:
Tambe S, Someshwar S, Dedhia A, Jadhav R, Bhatt K, Jerajani H. An asymptomatic swelling on the neck. Indian J Dermatol Venereol Leprol 2015;81:221-223
Copyright: (C)2015 Indian Journal of Dermatology, Venereology, and Leprology

A 24-year-old male presented to our clinic for evaluation of a single, asymptomatic swelling present on the posterior aspect of his neck for the last six months. The swelling was initially small, approximately around 0.5 cm, but gradually increased in size over a period of 6 months. There was a history of a similar lesion at the same site 1 year ago, which was excised under local anesthesia.

Cutaneous examination revealed a non-compressible cystic swelling of 3 cm × 4 cm size on the left side of the nape of neck [Figure - 1]a. The overlying skin had an erythematous hue. [Figure - 1]b.The transillumination test was positive [Figure - 1]c. Within the cystic swelling, a solid, non-tender, firm mass of approximately 2 × 3 cm was palpated.

Figure 1: (a) Translucent, non-compressible cystic swelling of size 3 × 4 cm on the left side of the nape of neck. (b) The overlying skin had an erythematous hue with normal skin markings. The surface of the tumor showed multiple facets and angles (c) Transillumination test was positive

A high-resolution ultrasonography of the lesion showed a well-defined hypoechoic round mass lesion in the - subcutaneous tissue with a hyperechoic center and specks of calcification [Figure - 2]a. A color Doppler study showed increased vascularity in the lesion and a branching tree pattern of blood vessels [Figure - 2]b.

Figure 2: (a) High-resolution ultrasonography of the lesion showed a well-defined hypoechoic round mass lesion in the subcutaneous tissue with hyperechoic center and specks of calcification. (b) Color Doppler study showed increased vascularity in the lesion with branching tree pattern of blood vessels

On histopathological examination, the tumor mass was seen separate from the dermis and did not have a cellular lining. The solid tumor mass showed basophilic nucleated cells in the periphery and anucleated cells with pink keratinized cytoplasm in the center, showing abrupt keratinization with foci of calcification [Figure - 3]a-d.

Figure 3: (a) The tumor mass was separated from dermis without any cellular lining. There was evidence of inflammatory infiltrate surrounding the tumor. (H and E, ×40) (b and c) The solid tumor mass showed basophilic nucleated cells in the periphery and anucleated cells with pink keratinized cytoplasm in the center, showing abrupt keratinization with foci of calcification (H and E, ×100). (d) Higher magnification showed basophilic nucleated cells in the periphery and anucleated cells with pink keratinized cytoplasm in the center (H and E, ×400)

What is Your Diagnosis?



Click here to view answer. View Answer

References
1.
Malherbe A, Chenanatis J. Note sur I'epithelioma calcifiedes glandes sebacees. Prog Med 1880;8:826-37.
[Google Scholar]
2.
Dubreuilh W, Cazenave E. De I' epithelioma calcifie: Etude histolgique. Ann Dermatol Syphilol 1922;3:257-68.
[Google Scholar]
3.
Forbis R Jr, Helwig EB. Pilomatrixoma (calcifying epithelioma). Arch Dermatol 1961;83:606-18.
[Google Scholar]
4.
Arnold HL. Pilomatricoma. Arch Dermatol 1977;113:1303.
[Google Scholar]
5.
Garg LN, Arora S, Gupta S, Gupta S, Singh P. Pilomatricoma: Forget me not. Indian Dermatol Online J 2011;2:75-7.
[Google Scholar]
6.
Simi CM, Rajalakshmi T, Correa M. Pilomatricoma: A tumor with hidden depths. Indian J Dermatol Venereol Leprol 2010;76:543-6.
[Google Scholar]
7.
Kaddu S, Soyer HP, Hödl S, Kerl H. Morphological stages of pilomatricoma. Am J Dermatopathol 1996;18:333-8.
[Google Scholar]
8.
Wortsman X, Wortsman J, Arellano J, Oroz J, Giugliano C, Benavides MI, et al. Pilomatrixomas presenting as vascular tumors on color Doppler ultrasound. J Pediatr Surg 2010;45:2094-8.
[Google Scholar]
9.
Choo HJ, Lee SJ, Lee YH, Lee JH, Oh M, Kim MH, et al. Pilomatricomas: The diagnostic value of ultrasound. Skeletal Radiol 2010;39:243-50.
[Google Scholar]
10.
Hwang JY, Lee SW, Lee SM. The common ultrasonographic features of pilomatricoma. J Ultrasound Med 2005;24:1397-402.
[Google Scholar]

Fulltext Views
123

PDF downloads
56
Show Sections