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Further Observations

J. B. HOWELL, M.D.; MARCUS R. CARO, M.D.

AMA Arch Derm. 1957;75(4):517-524.

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

Morphea-like epithelioma is a controversial tumor and many cases have been reported erroneously under this heading.¹ The diagnosis does not seem to have a uniform picture to all dermatologists, and American and European authors have used the term with different meanings.²

To many dermatologists in the United States the term "morphea-like epithelioma" has meant a superficial cicatrizing basal-cell carcinoma, the so-called "field fire" epithelioma, which resembles localized scleroderma only in its central, partially healed portion. We believe that superficial cicatrizing basalcell epithelioma and morphea-like epithelioma are not alike clinically or histologically and that they differ also in their behavior, prognosis, and response to treatment. We agree with Vilanova^3,4 that of the many epitheliomas that have been labeled as morphea-like only one form merits that designation and that is the relatively rare primary sclerodermiform basal-cell carcinoma. Excluded from this group . . . [Full Text PDF of this Article]

Author Affiliations
Dallas, Texas; Chicago

Footnotes
Received for publication July 24, 1956.

Read before the Section on Dermatology at the 105th Annual Meeting of the American Medical Association, Chicago, June 14, 1956.

Clinical Assistant Professor of Dermatology and Syphilology, Southwestern Medical College, University of Texas (Dr. Howell); Professor and Head of the Department of Dermatology and Syphilology, University of Illinois College of Medicine (Dr. Caro).

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