Display options
Share it on

Scientifica (Cairo). 2016;2016:2173427. doi: 10.1155/2016/2173427. Epub 2016 Feb 29.

Histomorphological and Immunohistochemical Reappraisal of Cutaneous Adnexal Tumours: A Hospital Based Study.

Scientifica

Prakriti Shukla, Uroos Fatima, Anil K Malaviya

Affiliations

  1. Department of Pathology, Era's Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India; Bhopal Memorial Hospital and Research Center, Raisen Road, Bhopal, Madhya Pradesh 462038, India.
  2. Department of Pathology, Era's Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India.

PMID: 27034895 PMCID: PMC4789832 DOI: 10.1155/2016/2173427

Abstract

Background. Diagnosing adnexal tumours of the skin is a challenge due to their wide variety, infrequent occurrence in practice, and confusing morphological picture. Aims and Objectives. The present study aims to observe the spectrum of adnexal tumours at our institute and to evaluate them based on histomorphological, histochemical, and immunohistochemical methods either alone or in combination for proper identification and classification. Materials and Methods. A partly retrospective and partly prospective study was conducted on adnexal skin tumours over a period of 6 years. Relevant clinical profile was recorded. Histopathological examination was carried out and special stains were applied as and when required. Immunohistochemistry was performed where diagnosis with routine stains was not possible. Results. A total of 150 skin tumour biopsies were received. There were 87 keratotic tumours, 39 adnexal tumours, and 24 melanocytic tumours. Amongst the adnexal tumours, 51.3% eccrine, 30.8% follicular, and 17.9% sebaceous tumours were seen. In five cases, histological diagnosis was troublesome where immunohistochemistry helped in making final diagnosis. Limitations. The sample size is small. Conclusion. Histomorphology is confirmatory in majority of the adnexal tumours but few rare lesions that mimic internal malignancy require a panel of immunomarkers to rule out other possible differentials.

References

  1. J Cutan Pathol. 1995 Oct;22(5):422-6 - PubMed
  2. Ann Acad Med Singapore. 1996 Jul;25(4):522-5 - PubMed
  3. Curr Diagn Pathol. 2007 Aug;13(4):301-319 - PubMed
  4. Acta Med Iran. 2013;51(12):879-85 - PubMed
  5. Am J Surg Pathol. 2001 Jun;25(6):710-20 - PubMed
  6. J Clin Pathol. 1991 Jul;44(7):543-8 - PubMed
  7. J Cutan Pathol. 2007 Jun;34(6):474-80 - PubMed
  8. Mod Pathol. 2010 May;23(5):713-9 - PubMed
  9. J Cutan Pathol. 2009 Feb;36(2):190-6 - PubMed
  10. J Cutan Pathol. 2006 Feb;33(2):123-8 - PubMed
  11. J Med Assoc Thai. 2010 Nov;93 Suppl 6:S28-34 - PubMed
  12. J Cutan Pathol. 2003 Sep;30(8):492-8 - PubMed
  13. Breast Cancer Res Treat. 1986;8(2):139-46 - PubMed
  14. Am J Dermatopathol. 1996 Aug;18(4):333-8 - PubMed
  15. Ann Afr Med. 2008 Mar;7(1):6-10 - PubMed
  16. Histopathology. 2004 Aug;45(2):162-70 - PubMed
  17. Cancer. 1998 Aug 15;83(4):767-71 - PubMed
  18. J Pak Med Assoc. 2003 Sep;53(9):427-31 - PubMed
  19. Am J Dermatopathol. 2010 May;32(3):257-61 - PubMed
  20. Indian J Dermatol. 2011 Nov;56(6):629-40 - PubMed
  21. Breast. 2008 Jun;17 (3):317-8 - PubMed
  22. Indian J Dermatol. 2013 Sep;58(5):331-6 - PubMed
  23. J Dermatol. 2006 Apr;33(4):256-9 - PubMed

Publication Types