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array:22 [ "pii" => "S0001731024007063" "issn" => "00017310" "doi" => "10.1016/j.ad.2024.09.007" "estado" => "S200" "fechaPublicacion" => "2024-09-20" "aid" => "4061" "copyrightAnyo" => "2024" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "crp" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:17 [ "pii" => "S0001731024006987" "issn" => "00017310" "doi" => "10.1016/j.ad.2023.11.022" "estado" => "S200" "fechaPublicacion" => "2024-09-20" "aid" => "4053" "copyright" => "AEDV" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "crp" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letter</span>" "titulo" => "Mutational Study Through Massive Sequencing of 12 Desmoplastic Melanomas and Clinical and Histopathological Features" "tienePdf" => "en" "tieneTextoCompleto" => "en" "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Estudio mutacional por secuenciación masiva de 12 melanomas desmoplásicos y características clínicas e histopatológicas" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2115 "Ancho" => 2133 "Tamanyo" => 470180 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Images of different forms of desmoplastic melanomas from our series showing clinical differences vs non-desmoplastic melanomas.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Casanova-Esquembre, J. Lorca-Spröhnle, J.Á. García-García, G. Pérez-Pastor" "autores" => array:4 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Casanova-Esquembre" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Lorca-Spröhnle" ] 2 => array:2 [ "nombre" => "J.Á." "apellidos" => "García-García" ] 3 => array:2 [ "nombre" => "G." "apellidos" => "Pérez-Pastor" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731024006987?idApp=UINPBA000044" "url" => "/00017310/unassign/S0001731024006987/v1_202409200439/en/main.assets" ] "itemAnterior" => array:17 [ "pii" => "S0001731023004908" "issn" => "00017310" "doi" => "10.1016/j.ad.2023.05.022" "estado" => "S200" "fechaPublicacion" => "2023-07-18" "aid" => "3547" "copyright" => "AEDV" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "crp" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letter</span>" "titulo" => "Recalcitrant Hailey–Hailey Disease With Satisfactory Response to Apremilast" "tienePdf" => "en" "tieneTextoCompleto" => "en" "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Enfermedad de Hailey-Hailey recalcitrante con respuesta satisfactoria a apremilast" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2049 "Ancho" => 1555 "Tamanyo" => 362161 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Red-brown plaques with superficial erosions and a macerated appearance, located in the axillary folds (A) and groin (B) before the start of treatment with apremilast. Note the improvement of the lesions after 6 months of treatment with apremilast 30<span class="elsevierStyleHsp" style=""></span>mg twice a day (C and D).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Mansilla-Polo, C. Abril-Pérez, M.Á. Navarro-Mira, R. Botella-Estrada" "autores" => array:4 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Mansilla-Polo" ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Abril-Pérez" ] 2 => array:2 [ "nombre" => "M.Á." "apellidos" => "Navarro-Mira" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Botella-Estrada" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731023004908?idApp=UINPBA000044" "url" => "/00017310/unassign/S0001731023004908/v1_202307180913/en/main.assets" ] "asociados" => array:1 [ 0 => array:17 [ "pii" => "S0001731023008529" "issn" => "00017310" "doi" => "10.1016/j.ad.2023.02.032" "estado" => "S200" "fechaPublicacion" => "2024-01-21" "aid" => "3711" "copyright" => "AEDV" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "crp" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Casos para el diagnóstico</span>" "titulo" => "Tumor cutáneo de larga evolución: ¿maligno o no?" "tienePdf" => "es" "tieneTextoCompleto" => "es" "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Long-Standing Skin Cancer: Malignant or Benign?" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figura 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 426 "Ancho" => 1000 "Tamanyo" => 133577 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Imágenes histopatológicas de la lesión. A)<span class="elsevierStyleHsp" style=""></span>Componente epitelial formado por ductos, revestidos por epitelio cúbico de única capa (H&E, ×20). B)<span class="elsevierStyleHsp" style=""></span>Componente estromal, mixoide, con áreas de predominio condroide (H&E, ×20).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L.M. Nieto-Benito, M. Córdoba-García-Rayo, M. Rogel-Vence" "autores" => array:3 [ 0 => array:2 [ "nombre" => "L.M." "apellidos" => "Nieto-Benito" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Córdoba-García-Rayo" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Rogel-Vence" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731023008529?idApp=UINPBA000044" "url" => "/00017310/unassign/S0001731023008529/v1_202401211203/es/main.assets" ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Cases for diagnosis</span>" "titulo" => " Long-Standing Skin Cancer: Malignant or Benign?" "tieneTextoCompleto" => true "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "L.M. Nieto-Benito, M. Córdoba-García-Rayo, M. Rogel-Vence" "autores" => array:3 [ 0 => array:4 [ "nombre" => "L.M." "apellidos" => "Nieto-Benito" "email" => array:1 [ 0 => "lula.m.nieto@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Córdoba-García-Rayo" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Rogel-Vence" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología, Hospital General Universitario Gregorio Marañón, Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tumor cutáneo de larga evolución: ¿maligno o no?" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 437 "Ancho" => 1000 "Tamanyo" => 77405 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Clinical image of the lesion. A) Nodule located on the right upper lip, with preservation of the follicles in that area. B) Detail of the lesion.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Medical history</span><p id="par0005" class="elsevierStylePara elsevierViewall">A 61-year-old woman without any relevant past medical or surgical history presented with a several-year history of a tumor nodule located on her right upper lip. She was asymptomatic but the tumor exhibited progressive growth.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Physical examination</span><p id="par0010" class="elsevierStylePara elsevierViewall">On examination, an erythematous macule with fine telangiectasias and preserved follicular openings was observed, within which a 20<span class="elsevierStyleHsp" style=""></span>mm subcutaneous nodule was palpable, along with an erythematous hue on the surface, fine telangiectasias, and preserved follicular openings (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The nodule was hard, with an irregular surface, slightly mobile, and adhered to deep planes. The lesion was confined to the skin and spared the oral mucosa. Dermoscopy of the lesion showed the presence of fine sharply focused arborizing vessels on a pink background without any other relevant structures.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Histopathology</span><p id="par0015" class="elsevierStylePara elsevierViewall">Biopsy of the lesion showed an epidermis of regular thickness with a preserved maturation gradient, beneath which a nodular tumor proliferation was observed in the deep dermis (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>), with mixed cellularity, consisting of areas of epithelial cells forming ducts lined by a single layer of cuboidal epithelium (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3A</a>). Cells were positive for cytokeratins (CKAE1-3+) and broad areas of myxoid stroma with chondroid areas were observed (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3B</a>). The histopathological study revealed few mitoses and no nuclear pleomorphism.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">What is your diagnosis?</span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Diagnosis</span><p id="par0020" class="elsevierStylePara elsevierViewall">Cutaneous mixed tumor (chondroid syringoma).</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Comment</span><p id="par0025" class="elsevierStylePara elsevierViewall">After diagnosing the lesion—despite its benign nature—complete excision of the lesion was decided due to its size and the functional discomfort reported by the patient. The study of the complete specimen confirmed the findings made on the skin biopsy.</p><p id="par0030" class="elsevierStylePara elsevierViewall">The cutaneous mixed tumor, or chondroid syringoma, is a benign adnexal tumor with follicular and apocrine differentiation, consisting of both an epithelial and a mesenchymal component, hence its name.<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">1,2</span></a> Some authors believe it should be considered a hamartoma rather than an adnexal tumor, same as it happens with other neoplasms derived from adnexal structures.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">2</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">It is a rare entity and typically presents as a papule or nodule, depending on its size, on the face or neck, although it can grow anywhere, even in the genital region.<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">2,3</span></a> Clinically, it can be confused with any other benign adnexal tumor, primarily cystic, infundibular, or trichilemmal, or malignant, such as basal cell carcinoma or sebaceous carcinoma, or even vascular proliferations when they acquire a bluish coloration.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Histologically, its dual origin (epithelial and mesenchymal) translates into the existence of 2 intermingled cellular populations in a nodular, usually dermal, well-circumscribed lesion.<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">2,3</span></a> The epithelial component predominantly shows tubular, branched, and interconnected structures covered by 2 cell layers: the luminal one—made of cylindrical cells with decapitation secretion—and the outer one—which is in contact with the stroma—made of cuboidal cells.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">2</span></a> This pattern is known as a mixed tumor with apocrine differentiation, while when made of small, rounded ducts distributed across the stroma, it shows a pattern with eccrine differentiation. Regardless of the differentiation, it is surrounded by a predominant collagen component, which may be accompanied, to varying degrees, by myxoid zones and/or adipocytes.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">3</span></a> Despite the term “chondroid,” the appearance of cartilaginous tissue as part of the stroma is rare.<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">2,3</span></a> Given the broad differentiation potential of both components, this lesion may raise diagnostic suspicion with other entities, such as fibromyxoid and ossifying soft tissue tumors, chondrosarcoma myxoid (both lacking ductal/tubular components), and paracordoma (which would be negative for epithelial markers, unlike the cutaneous mixed tumor).</p><p id="par0045" class="elsevierStylePara elsevierViewall">It is a benign tumor, and due to symptoms or the patient's wishes, surgical treatment is ideal.<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">3,4</span></a> Given its low recurrence rate, complete excision is recommended, but without the need for safety margins.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">4</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">Its indolent behavior is impaired by the existence of malignant forms, usually based on undifferentiated adnexal tumors, which can be associated with local recurrences and even distant metastases.<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">4-6</span></a> These are histopathologically characterized by cellular atypia, a high mitotic index, local invasion, and poorly defined lesion borders.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">4</span></a></p><p id="par0055" class="elsevierStylePara elsevierViewall">Additionally, similarities have been established with the mixed tumor of the salivary gland—also known as pleomorphic adenoma. However, this tumor is associated with a higher risk of malignancy and/or local recurrence when excision is incomplete.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">4</span></a> This spectrum of mixed tumors has led to the existence of reports in the literature of “cutaneous” pleomorphic adenoma (true cutaneous mixed tumors and non-cutaneous forms of pleomorphic adenomas of salivary origin),<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">5,6</span></a> which underscores the need for analyzing both entities understanding them as 2 separate neoplasms.</p></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Conflicts of interest</span><p id="par0060" class="elsevierStylePara elsevierViewall">None declared.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:6 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Medical history" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Physical examination" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Histopathology" ] 3 => array:3 [ "identificador" => "sec0020" "titulo" => "What is your diagnosis?" "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0025" "titulo" => "Diagnosis" ] 1 => array:2 [ "identificador" => "sec0030" "titulo" => "Comment" ] ] ] 4 => array:2 [ "identificador" => "sec0035" "titulo" => "Conflicts of interest" ] 5 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 437 "Ancho" => 1000 "Tamanyo" => 77405 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Clinical image of the lesion. A) Nodule located on the right upper lip, with preservation of the follicles in that area. B) Detail of the lesion.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 702 "Ancho" => 600 "Tamanyo" => 91578 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Histopathological image of the skin biopsy of the lesion (H&E,<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>4). Nodular proliferation—located in the deep dermis—is observed.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 426 "Ancho" => 1000 "Tamanyo" => 121746 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Histopathological images of the lesion. A) Epithelial component formed by ducts covered by a single layer of cuboidal epithelium (H&E,<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>20). B) Myxoid stromal component with areas of chondroid predominance (H&E,<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>20).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:6 [ 0 => array:3 [ "identificador" => "bib0035" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mixed tumors of the lip" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.L. Bernier" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Dent." 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"fecha" => "2017" "volumen" => "44" "paginaInicial" => "292" "paginaFinal" => "295" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28035707" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0055" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Rare upper lip pleomorphic adenoma presents as cutaneous skin lesion: Case report" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "A.G. Gelidan" 1 => "K. Arab" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ijscr.2021.106142" "Revista" => array:5 [ "tituloSerie" => "Int J Surg Case Rep." 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año/Mes | Html | Total | |
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2024 Noviembre | 16 | 16 | 32 |
2024 Octubre | 88 | 50 | 138 |
2024 Septiembre | 227 | 67 | 294 |