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Summary
DescriptionPalisaded and Encapsulated Neuroma (978575618).jpg
This cute little benign tumor presented as a 3-mm skin-colored papule on the nose of a 44-year-old man.
Because desmoplastic melanomas can look so bland, I tend to treat spindle cell lesions from sun-exposed areas with disproportionate respect and attention. In this case, I ruled out melanoma because of 1) encapsulation, 2) lack of lymphoid response, 3) no evidence of neurotropism, and 4) no junctional/epidermal component. And even after all that, I still sent it to our dermatopathologist for his opinion!
Pathological and histological images courtesy of Ed Uthman at flickr.
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