Pigmented squamous cell carcinoma: case report and importance of differential diagnosis

Abstract: A few cases of pigmented squamous cell carcinoma affecting the skin and the ocular and oral mucosa of the elderly have been described in the literature. The disease manifests itself as papular and nodular erythematous or pigmented lesions. The main clinical differential diagnoses are pigme...

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Main Authors: Patrícia Motta de Morais, Antônio Pedro Mendes Schettini, Jeanine Alvarenga Rocha, Renato Cândido da Silva Júnior
Format: Article
Language:English
Published: Sociedade Brasileira de Dermatologia 2018-02-01
Series:Anais Brasileiros de Dermatologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962018000100096&tlng=en
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author Patrícia Motta de Morais
Antônio Pedro Mendes Schettini
Jeanine Alvarenga Rocha
Renato Cândido da Silva Júnior
author_facet Patrícia Motta de Morais
Antônio Pedro Mendes Schettini
Jeanine Alvarenga Rocha
Renato Cândido da Silva Júnior
author_sort Patrícia Motta de Morais
collection DOAJ
description Abstract: A few cases of pigmented squamous cell carcinoma affecting the skin and the ocular and oral mucosa of the elderly have been described in the literature. The disease manifests itself as papular and nodular erythematous or pigmented lesions. The main clinical differential diagnoses are pigmented basal cell carcinoma and melanoma. Histopathological examination is characterized by proliferation of atypical squamous cells with formation of horn pearls permeated by dendritic melanocytes. For this reason, a careful diagnosis is necessary to rule out other tumors that show melanin pigment. Surgical removal is the indicated treatment and the prognosis is similar to the classical squamous cell carcinoma. We report a case of pigmented squamous cell carcinoma with diagnosis confirmed by histological and immunohistochemical examinations.
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spelling doaj.art-2ed26ab3fd8849bd9458418753d76ea12022-12-21T21:29:10ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962018-02-01931969810.1590/abd1806-4841.20186757Pigmented squamous cell carcinoma: case report and importance of differential diagnosisPatrícia Motta de MoraisAntônio Pedro Mendes SchettiniJeanine Alvarenga RochaRenato Cândido da Silva JúniorAbstract: A few cases of pigmented squamous cell carcinoma affecting the skin and the ocular and oral mucosa of the elderly have been described in the literature. The disease manifests itself as papular and nodular erythematous or pigmented lesions. The main clinical differential diagnoses are pigmented basal cell carcinoma and melanoma. Histopathological examination is characterized by proliferation of atypical squamous cells with formation of horn pearls permeated by dendritic melanocytes. For this reason, a careful diagnosis is necessary to rule out other tumors that show melanin pigment. Surgical removal is the indicated treatment and the prognosis is similar to the classical squamous cell carcinoma. We report a case of pigmented squamous cell carcinoma with diagnosis confirmed by histological and immunohistochemical examinations.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962018000100096&tlng=enCarcinoma, squamous cellHistologyMelanocytes
spellingShingle Patrícia Motta de Morais
Antônio Pedro Mendes Schettini
Jeanine Alvarenga Rocha
Renato Cândido da Silva Júnior
Pigmented squamous cell carcinoma: case report and importance of differential diagnosis
Anais Brasileiros de Dermatologia
Carcinoma, squamous cell
Histology
Melanocytes
title Pigmented squamous cell carcinoma: case report and importance of differential diagnosis
title_full Pigmented squamous cell carcinoma: case report and importance of differential diagnosis
title_fullStr Pigmented squamous cell carcinoma: case report and importance of differential diagnosis
title_full_unstemmed Pigmented squamous cell carcinoma: case report and importance of differential diagnosis
title_short Pigmented squamous cell carcinoma: case report and importance of differential diagnosis
title_sort pigmented squamous cell carcinoma case report and importance of differential diagnosis
topic Carcinoma, squamous cell
Histology
Melanocytes
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962018000100096&tlng=en
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AT antoniopedromendesschettini pigmentedsquamouscellcarcinomacasereportandimportanceofdifferentialdiagnosis
AT jeaninealvarengarocha pigmentedsquamouscellcarcinomacasereportandimportanceofdifferentialdiagnosis
AT renatocandidodasilvajunior pigmentedsquamouscellcarcinomacasereportandimportanceofdifferentialdiagnosis