Slowly growing nodule in supralabial region
Passeig de la Vall d'Hebron, 119-129, 08035 Barcelona
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Gonzalez-Cruz C, Bodet D, Garcia-Patos V. Slowly growing nodule in supralabial region. Indian J Dermatol Venereol Leprol 2020;86:215-217
A 63-year-old man with a history of chronic obstructive pulmonary disease presented with a 16 mm × 15 mm solitary lobulated nodule in the right supralabial region. The tumor that appeared 15 years ago was slowly growing and asymptomatic. On physical examination, the tumor was firm, well-circumscribed, without pain on palpation and the overlying skin showed no inflammatory signs or abnormal pigmentation [Figure - 1]. An excisional biopsy was performed. The tumor was well delimited with no adhesions, which allowed complete removal. The histopathologic examination demonstrated a well-circumscribed dermal tumor [Figure - 2]a with clusters and solid cords of cells as well as ductal structures through a myxoid, chondroid and fibrous stroma. Keratinous cysts and calcifications were present [Figure - 2]b and [Figure - 2]c. Tubuloalveolar structures were lined internally by epithelial cells and externally by myoepithelial cells. Decapitation secretion was observed [Figure - 2]d. Surgical margins were not affected. No tumor recurrence occurred after 15 months of follow-up.
|Figure 1: Firm and well-circumscribed solitary lobulated nodule in the right supralabial region|
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The authors thank Dr. Berta Ferrer for her help with the pathological images and Dr. Sabina Ruiz for revising the manuscript.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given his consent for his images and other clinical information to be reported in the journal. The patient understands that name and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.
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