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  Vol. 131 No. 2, February 1995 TABLE OF CONTENTS
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Long-standing Subcutaneous Nodule in a Young Woman

Aaron K. Joseph, MD; Jaime A. Tschen, MD; Jerry E. Dickson, MD

Arch Dermatol. 1995;131(2):215-216.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

REPORT OF A CASE

A 33-year-old woman presented with a 2- to 3-cm subcutaneous nodule in the medial aspect of her right arm. The nodule was of many years' duration. The patient noted a new nodule distal to the larger lesion that was of 1 to 2 years' duration, occurring after pregnancy. On physical examination, a 2.5 x3.5-cm erythematous, slightly scaly plaque was found in the medial aspect of the right arm. A 1-cm pink nodule was seen approximately 1 cm distal to the larger lesion (Figure 1). A 4-mm punch biopsy specimen was obtained (Figure 2 through Figure 4).

What is your diagnosis?

DIAGNOSIS:

Plexiform fibrohistiocytic tumor.

HISTOPATHOLOGIC FINDINGS

A dermal nodule containing a concentric fibroblastic proliferation with hyalinized collagen was found frequently surrounding nerves and containing a patchy mononuclear infiltrate (Figure 2 and Figure 3). Most spindle cells and many . . . [Full Text PDF of this Article]


Author Affiliations

Baylor College of Medicine and St Joseph Hospital, Houston, Tex



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