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The Bulge (der Wulst) Revisited

Barry Leshin, MD; Wain L. White, MD

Arch Dermatol. 1990;126(7):900-906.

Abstract
• Twenty-two patients undergoing Mohs micrographic surgery for nasal or perinasal basal cell carcinoma (BCC) were noted to have folliculocentric basaloid proliferation (FBP) on standard horizontal frozen sections. This FBP probably represents "bulge" growth and may have striking similarity to BCC. Criteria that distinguish FBP from BCC are presented herein.

(Arch Dermatol. 1990;126:900-906)

Author Affiliations
From the Departments of Dermatology (Drs Leshin and White), Otolaryngology (Dr Leshin), and Pathology (Dr White), Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, NC.

Footnotes
Accepted for publication December 29, 1989.

Presented in part at the International Society of Dermatopathology 10th International Colloquium, Charleston, SC, June 9, 1989.

Reprint requests to the Department of Dermatology, Bowman Gray School of Medicine, 300 S Hawthorne Rd, Winston-Salem, NC 27103 (Dr Leshin).

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