Author/Editor | Golouh, Rastko; Zidar, Andreja | |
Title | Subungual osteogenic malignant melanoma: a case report | |
Type | članek | |
Source | Int J Surg Pathol | |
Vol. and No. | Letnik 4, št. 4 | |
Publication year | 1997 | |
Volume | str. 249-54 | |
Language | eng | |
Abstract | Osteogenic melanoma may mimic many other, especially osteogenic sarcoma; only 12 cases have been reported so far. To characterize this unusual neoplasm further, we present the clinicopathologic findings of a new case. A 67-year-old woman was treated unsuccessfully for "fungal granuloma" of her great toe. After nail ablation and incisiional biopsy, the toe was exarticulated. Histologically, we found a high-grade, spindle, focally epithelioid, amelanotic malignant tumor with a distinct osteoid and chondroid matrix. Spindle, epithelioid, osteoblastic, and chondroblastic tumor cells were immunoreactive for vimentin, S-100 protein, and NKI/C3. Ultrastructurally, diagnostic premelanosomes were not identified. Features that support a diagnosis of osteogenic melanoma are superficial subungual location, absence of bone involvement, and immunoreactivity for vimentin, S-100 protein, and NKI/C3. The unusual features of current tumor are absence of radial growth phase, negative reaction to HMB-45, and ultrastructural absence of melanosomes. | |
Descriptors | MELANOMA TOES OSTEOBLASTS IMMUNOHISTOCHEMISTRY MICROSCOPY, ELECTRON |