Combined Papillated Bowen Disease and Clear Cell Atypical Fibroxanthoma

We describe a case of papillated Bowen disease (PBD), associated with a clear cell atypical fibroxanthoma (CCAFXA). The epidermal lesion showed a bowenoid papillomatous growth pattern with histologic features suggestive of infection by human papilloma virus (HPV). In the dermis a neoplasm made up by...

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Main Authors: Dimas Suárez-Vilela, Francisco Izquierdo-García, Francisco Domínguez-Iglesias, Jose Ramón Méndez-Álvarez
Format: Article
Language:English
Published: Karger Publishers 2010-05-01
Series:Case Reports in Dermatology
Subjects:
Online Access:http://www.karger.com/Article/FullText/314232
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author Dimas Suárez-Vilela
Francisco Izquierdo-García
Francisco Domínguez-Iglesias
Jose Ramón Méndez-Álvarez
author_facet Dimas Suárez-Vilela
Francisco Izquierdo-García
Francisco Domínguez-Iglesias
Jose Ramón Méndez-Álvarez
author_sort Dimas Suárez-Vilela
collection DOAJ
description We describe a case of papillated Bowen disease (PBD), associated with a clear cell atypical fibroxanthoma (CCAFXA). The epidermal lesion showed a bowenoid papillomatous growth pattern with histologic features suggestive of infection by human papilloma virus (HPV). In the dermis a neoplasm made up by spindled or polygonal cells with wide clear cytoplasm and moderate nuclear pleomorphism was found. Immunohistochemical characteristics of these two lesions were clearly different. The atypical cells of the intraepidermal proliferation were positive for AE1-AE3 anticytokeratin antibody, EMA, p16, p53 and p63. The dermal tumor was positive for vimentin, CD10, CD68, CD99, alpha-1-antitrypsin and c-kit. Histological features and immunohistochemical profile of the dermal tumor corresponded to a CCAFXA, a very uncommon neoplasm of which only 10 cases have been reported. In situ hybridization for numerous types of HPVs was negative in both lesions.
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spelling doaj.art-6b7c1bf51b6145fb9f7695c2945294372022-12-22T03:47:42ZengKarger PublishersCase Reports in Dermatology1662-65672010-05-0122697510.1159/000314232314232Combined Papillated Bowen Disease and Clear Cell Atypical FibroxanthomaDimas Suárez-VilelaFrancisco Izquierdo-GarcíaFrancisco Domínguez-IglesiasJose Ramón Méndez-ÁlvarezWe describe a case of papillated Bowen disease (PBD), associated with a clear cell atypical fibroxanthoma (CCAFXA). The epidermal lesion showed a bowenoid papillomatous growth pattern with histologic features suggestive of infection by human papilloma virus (HPV). In the dermis a neoplasm made up by spindled or polygonal cells with wide clear cytoplasm and moderate nuclear pleomorphism was found. Immunohistochemical characteristics of these two lesions were clearly different. The atypical cells of the intraepidermal proliferation were positive for AE1-AE3 anticytokeratin antibody, EMA, p16, p53 and p63. The dermal tumor was positive for vimentin, CD10, CD68, CD99, alpha-1-antitrypsin and c-kit. Histological features and immunohistochemical profile of the dermal tumor corresponded to a CCAFXA, a very uncommon neoplasm of which only 10 cases have been reported. In situ hybridization for numerous types of HPVs was negative in both lesions.http://www.karger.com/Article/FullText/314232Clear cell atypical fibroxanthomap16Papillated Bowen diseaseBowen diseaseAtypical fibroxanthomaImmunohistochemistry
spellingShingle Dimas Suárez-Vilela
Francisco Izquierdo-García
Francisco Domínguez-Iglesias
Jose Ramón Méndez-Álvarez
Combined Papillated Bowen Disease and Clear Cell Atypical Fibroxanthoma
Case Reports in Dermatology
Clear cell atypical fibroxanthoma
p16
Papillated Bowen disease
Bowen disease
Atypical fibroxanthoma
Immunohistochemistry
title Combined Papillated Bowen Disease and Clear Cell Atypical Fibroxanthoma
title_full Combined Papillated Bowen Disease and Clear Cell Atypical Fibroxanthoma
title_fullStr Combined Papillated Bowen Disease and Clear Cell Atypical Fibroxanthoma
title_full_unstemmed Combined Papillated Bowen Disease and Clear Cell Atypical Fibroxanthoma
title_short Combined Papillated Bowen Disease and Clear Cell Atypical Fibroxanthoma
title_sort combined papillated bowen disease and clear cell atypical fibroxanthoma
topic Clear cell atypical fibroxanthoma
p16
Papillated Bowen disease
Bowen disease
Atypical fibroxanthoma
Immunohistochemistry
url http://www.karger.com/Article/FullText/314232
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