File:Palisaded and Encapsulated Neuroma (978575618).jpg

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Description

This cute little benign tumor presented as a 3-mm skin-colored papule on the nose of a 44-year-old man.

Because desmoplastic melanomas can look so bland, I tend to treat spindle cell lesions from sun-exposed areas with disproportionate respect and attention. In this case, I ruled out melanoma because of 1) encapsulation, 2) lack of lymphoid response, 3) no evidence of neurotropism, and 4) no junctional/epidermal component. And even after all that, I still sent it to our dermatopathologist for his opinion!

Pathological and histological images courtesy of Ed Uthman at flickr.
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Palisaded and Encapsulated Neuroma

Author Ed Uthman from Houston, TX, USA

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This image, originally posted to Flickr, was reviewed on 11 December 2013 by the administrator or reviewer File Upload Bot (Magnus Manske), who confirmed that it was available on Flickr under the stated license on that date.

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1 August 2007

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Date/TimeThumbnailDimensionsUserComment
current11:43, 11 December 2013Thumbnail for version as of 11:43, 11 December 20132,048 × 1,536 (1.25 MB)File Upload Bot (Magnus Manske)Transferred from Flickr by User:CFCF

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