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Stephanie W. Hu, MD, Steven R. Tahan, MD, Caroline C. Kim, MD 

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Presentation on theme: "Stephanie W. Hu, MD, Steven R. Tahan, MD, Caroline C. Kim, MD "— Presentation transcript:

1 Follicular malignant melanoma: A case report of a metastatic variant and review of the literature 
Stephanie W. Hu, MD, Steven R. Tahan, MD, Caroline C. Kim, MD  Journal of the American Academy of Dermatology  Volume 64, Issue 5, Pages (May 2011) DOI: /j.jaad Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions

2 Fig 1 Polarized light dermoscopy of a black 1.5-mm perifollicular papule in the left beard area revealed a dark blue-grey, homogenous round area surrounding a coarse central hair. A faint blue-grey “shadow” was seen superior to the area, as can be seen superior to all hairs. (Original magnification: ×10.) Journal of the American Academy of Dermatology  , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions

3 Fig 2 A, Low power photomicrograph of heavily pigmented melanoma involving entire length of hair follicle to base of the biopsy, including sebaceous duct, with invasion into adjacent papillary dermis. The Breslow depth was measured from inner root sheath of the hair follicle to the deepest penetration into the papillary dermis. There is no involvement of the shoulders of the follicular infundibulum or adjacent epidermis. B, Upper follicle showing markedly atypical melanocytes singly and in small nests occupying the full-thickness of the follicular epithelium with high-level Pagetoid spread through to the inner root sheath with shedding into the follicular lumen consistent with in situ melanoma. There is invasion into the adjacent papillary dermis. (Hematoxylin–eosin stain; original magnification: A, ×40; B, ×100.) Journal of the American Academy of Dermatology  , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions


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