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Subcutaneous (deep)
granuloma annulare in children: a possible mimicker of epithelioid
sarcoma.Fetal
Pediatr Pathol. 2007 Jan-Feb;26(1): 33-9.
Subcutaneous
granuloma annulare (SGA) is a self-limited inflammatory lesion
consisting of dermal or subcutaneous nodules usually affecting
children. Lower extremity involvement is the most common anatomic
site. Because of the subcutaneous location, the morphological
diagnosis of SGA can be challenging, and differential diagnoses are
both benign and malignant processes including epithelioid sarcoma. Our
article examines the clinical, histopathological, and
immuno-histochemical aspects of SGA in comparison to ES. We present 3
cases of SGA in children, who were initially diagnosed with ES and
discuss the differential diagnoses features between SGA and ES.
Because SGA can simulate ES, the awareness of this possibility is
important to avoid overtreatment, like amputation, of the benign
condition (SGA).
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