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        Myxoid Tumours of Soft Tissue

       Dr  Sampurna Roy  MD

 
     DermPath-India

     Site created by

 Dr Sampurna Roy MD

          

http://www.histopathology-india.net/dermpath.htm

June  2009
Normal Histology of Skin

Glossary   

Gross examination of the skin specimen

Reporting of biopsies taken for Inflammatory Skin Diseases

Lichenoid (Interface)Tissue Reaction Pattern

Psoriasiform Reaction Pattern

Vesiculobullous Reaction Pattern

Spongiform Reaction Pattern

Vasculopathic Reaction Pattern

Lichen planus-like lesions

Bullous Pemphigoid

Dermatitis Herpetiformis

Erythema Nodosum

Folliculitis

Impetigo

Furuncle(Boil)

Carbuncle

Toxic Shock Syndrome

Drug related cutaneous lesions

Cutaneous lesion in graft-
versus host disease

Pathology of the Eyelid

Inflammatory diseases of the Eyelid

Tumour and tumour-like lesions of the Eyelid

Adnexal Tumours of the eyelid

Epidermal tumours of the Eyelid

Mesenchymal Tumours of the Eyelid

Melanocytic tumours of the Eyelid

Granulomatous Reaction Pattern of the Skin

Granuloma Annulare

Necrobiosis Lipoidica

Necrobiotic Xanthogranuloma   

Rheumatoid Nodule

Lupus Vulgaris

Cutaneous Sarcoidosis

Melkersson Rosenthal Syndrome

AnnularElastolytic Giant Cell Granuloma

Skin lesion in Crohn's Disease

Blastomycosis-like pyoderma

Foreign body granuloma

Rosacea

Interstitial Granulomatous Dermatitis

Interstitial Granulomatous Drug Reaction

                         

Necrobiotic xanthogranuloma is a rare disorder which   is frequently associated with paraproteinemia and lymphoproliferative diseases.

Age:  Middle-aged or elderly patients.

Clinical presentation:  Lesion presents as reddish, partly xanthomatous nodules or plaques.

Site:  These are usually located around the periorbital area.  Other sites include extremities &  trunk.
 
Histopathological  features: Image1 ; Image2 ; Image3

Extensive areas of hyaline necrobiosis surrounded by a palisade of histiocytes & multinucleated giant cells ;
Large numbers of necrotic inflammatory cells in the reticular dermis ;
Superficial and deep perivascular lymphoplasmacytic infiltrate ;
Presence of foam cells, multinucleated giant cells (Touton  & foreign body types), cholesterol clefts & extracellular lipid ;  Lymphoid follicles may be present ; Extensive areas of fat necrosis in the subcutaneous tissue.

 

Differential diagnosis:      Necrobiosis Lipoidica:  Much less collagen degeneration. Foam cells, large numbers of necrotic inflammatory cells & cholesterol clefts are absent . Atypical giant cells are not prominent. Panniculitis is localized to the septa . In necrobiotic xanthogranuloma the lobules are extensively involved. Necrobiosis lipoidica diabeticorum with cholesterol clefts in the differential diagnosis of necrobiotic xanthogranuloma.J Cutan Pathol. 1988 Feb;15(1):18-21.

                    

Abstracts:

Necrobiotic xanthogranuloma associated with lymphoplasmacytic lymphoma. Palliative treatment with carbon dioxide laser.Eur J Dermatol. 2005;15(3):182-5.

Necrobiotic xanthogranuloma-rapid progression under treatment with melphalan.Eur J Dermatol. 2005;15(5):363-5.

Long-term course of necrobiotic xanthogranuloma with ocular involvement. Hautarzt. 2005 Feb 12;

Case of recalcitrant necrobiotic xanthogranuloma.Australas J Dermatol. 2004;45(4):213-5.

Systemic necrobiotic xanthogranuloma with initial pericardial and pulmonary involvement.Ann Dermatol Venereol. 2003 Mar;130(3):341-4.

Necrobiotic xanthogranuloma associated with a benign monoclonal gammopathy.Cutis. 2003;72(1):47-50.

Bilateral necrobiotic xanthogranuloma of the eyelids with associated paraproteinemia: Case report and review of literature.Klin Monatsbl Augenheilkd. 2002;219(1-2):55-8.

Necrobiotic xanthogranuloma , a cutaneous disorder associated with monoclonal gammopathy.Rev Med Interne. 2002 May;23(5):460-4.

Necrobiotic xanthogranulom presenting as a solitary tumor. Am J Dermatopathol.2000;22(5): 453-6.

Necrobiotic xanthogranuloma: long-term outcome of ocular and systemic involvement. Am J Ophthalmol 2000;129:651-7

Lipid and giant cell poor necrobiotic xanthogranuloma. J Cutan Pathol 2000;27:374-378.

Necrobiotic xanthogranuloma with paraproteinemia: an evolving presentation. Cutis 1997;59:333-36.

Necrobiotic xanthogranuloma with eye involvement. Overview and case report.Hautarzt. 1995 May;46(5):330-4.

Histopathology of necrobiotic xanthogranuloma with paraproteinemia. J Cutan Pathol 1987;14:92-99

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Myxoid Tumours of Soft Tissue

Classification of Soft Tissue Tumour

Gross examination of soft tissue specimen          

A practical approach to histopathological reporting of soft tissue tumours

Grading of soft tissue tumours

Lipomatous tumours


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