RESUMEN
A case of recurrent lentigo maligna in a 45-year-old woman is presented. The disease relapsed several times following the surgical excision of the lesion. An alternative treatment with imiquimod 5% cream was then used. After 4 years of follow-upfrom the last surgery, this treatment achieved total clearance of the lesion. The problems of lentigo maligna diagnosis and treatment are discussed.
Asunto(s)
Peca Melanótica de Hutchinson , Neoplasias Cutáneas , Femenino , Humanos , Persona de Mediana Edad , Imiquimod , Peca Melanótica de Hutchinson/tratamiento farmacológico , Peca Melanótica de Hutchinson/cirugía , Estudios de Seguimiento , Neoplasias Cutáneas/diagnóstico , Neoplasias Cutáneas/tratamiento farmacológico , Neoplasias Cutáneas/cirugía , Aminoquinolinas/uso terapéuticoAsunto(s)
Anticuerpos Monoclonales Humanizados/uso terapéutico , Carcinoma Basocelular/tratamiento farmacológico , Neoplasias del Oído/tratamiento farmacológico , Inhibidores de Puntos de Control Inmunológico/uso terapéutico , Neoplasias Cutáneas/tratamiento farmacológico , Anciano , Carcinoma Basocelular/patología , Pabellón Auricular/patología , Neoplasias del Oído/patología , Humanos , Masculino , Piel/patología , Neoplasias Cutáneas/patologíaRESUMEN
The scrotum is a rare site for metastases and represents less than 1% of the body's total surface area. Clinically, metastatic deposits in the scrotum can present in a variety of ways. They may appear as solitary cutaneous nodules, papules, plaques, or generalized induration or edema. Indeed, scrotum metastasis may be mistaken for other skin lesions since several dermatologic conditions can present with inflammation or dermatitis of the scrotum. Properly diagnosing cutaneous metastasis requires histopathological examination since the clinical appearances are, as described, highly variable and non-specific. We present a 63-year-old man with painless nodules on the scrotal skin. Excisional biopsy of the nodules revealed a metastasis from rectal squamous cell carcinoma. The incidence of this kind of tumors is estimated around 0.1-0.25â¯per 1000â¯colorectal neoplasms.
Asunto(s)
Carcinoma de Células Escamosas/secundario , Neoplasias de los Genitales Masculinos/secundario , Neoplasias del Recto/patología , Escroto/patología , Neoplasias Cutáneas/secundario , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Cutaneous leiomyosarcoma is a rare malignant mesenchymal tumor of smooth muscle origin of unknown etiology. Leiomyosarcomas located on the skin include superficial leiomyosarcomas and metastatic leiomyosarcomas. Superficial leiomyosarcomas represent 7-10% of all cases of leiomyosarcoma and are subdivided into cutaneous and subcutaneous lesions based on skin location. We report a case of an 81-year-old woman who presented a slow growing tender single nodule on the left thigh and describe its clinical and dermoscopic features.
