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Solitary Circumscribed Neuroma: Dermoscopic clues to facilitate diagnosis.

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A 66-year-old woman presented to the Dermatology Outpatient Clinic of the Hospital Universitario Reina Sofía, Córdoba, Spain in 2017 with a 10-year history of a painful slowgrowing erythematous lesion on… Click to show full abstract

A 66-year-old woman presented to the Dermatology Outpatient Clinic of the Hospital Universitario Reina Sofía, Córdoba, Spain in 2017 with a 10-year history of a painful slowgrowing erythematous lesion on her chin. A clinical examination revealed a pink, translucent, firm, nonulcerated papule of 6 mm [Figure 1]. No similar cutaneous or mucosal lesions were noted anywhere else on the body. Polarised non-contact dermoscopy of the papule (Dermlite DL3N®, 3Gen Inc., San Juan Capistrano, California, USA) indicated arborising vessels on a pinkish-reddish background, a central white spot and peripheral pigmentation [Figure 2]. Following complete surgical excision of the lesion, a histopathological examination revealed a well-circumscribed partially-encapsulated dermal proliferation comprised of spindle cells with scanty pale cytoplasm and elongated wavy nuclei. The nuclei were grouped in distinct fascicles set in fibrillar, collagenous and occasionally myxoid stroma [Figure 3]. The patient was subsequently diagnosed with a solitary circumscribed neuroma (SCN). She recovered successfully following the surgery, with no recurrence observed after 10 months of follow-up.

Keywords: neuroma dermoscopic; circumscribed neuroma; solitary circumscribed; clues facilitate; dermoscopic clues; facilitate diagnosis

Journal Title: Sultan Qaboos University medical journal
Year Published: 2018

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