10.5826/dpc.1201a20
text/xml
2160-9381
1739
en
Daniel  Alcalá
https://creativecommons.org/licenses/by-nc/4.0
Dermatology Practical & Conceptual
Pink Scalp Tumors Showing Multiple Rosettes
Text.Serial.Journal
https://dpcj.org/index.php/dpc
Image Letter
2022-02-02
2021-03-30
2022-02-02
2022-02-09
e2022020
Dermatol Pract Concept
Daniel  Alcalá
2022/02/02
10.5826/dpc.1201a20
e2022020
Department of Dermato-Oncology, Centro Dermatológico Dr. “Ladislao de la Pascua”, Mexico City, Mexico 
2160-9381
en
e2022020
Pink Scalp Tumors Showing Multiple Rosettes
https://dpcj.org/index.php/dpc/article/download/1739/1484
        Scalp Pink Tumors Showing Multiple Rosettes
  Karla Patricia Estrada-Ramírez1, Denisse Herrera-Bringas2, Maribet González-González3,
                                    Daniel Alcalá-Pérez2


1 Department of Dermatology, Centro Dermatológico Dr. “Ladislao de la Pascua”, Mexico City, México
2 Department of Dermato-Oncology, Centro Dermatológico Dr. “Ladislao de la Pascua”, Mexico City, Mexico
3 Department of Dermatopathology, Centro Dermatológico Dr. “Ladislao de la Pascua”, Mexico City, México



Citation: Estrada-Ramírez KP, Herrera-Bringas D, González-González M, Alcalá-Pérez D. Scalp pink tumors showing multiple rosettes.
Dermatol Pract Concept. 2022;12(1):e2022020. DOI: https://doi.org/10.5826/dpc.1201a20
Accepted: May 26, 2021; Published: January 2022
Copyright: ©2022 Estrada-Ramírez et al. This is an open-access article distributed under the terms of the Creative Commons
Attribution-NonCommercial License (BY-NC-4.0), https://creativecommons.org/licenses/by-nc/4.0/, which permits unrestricted
noncommercial use, distribution, and reproduction in any medium, provided the original authors and source are credited.
Funding: None.
Competing interests: None.
Authorship: All authors have contributed significantly to this publication.
Corresponding author: Daniel Alcalá Pérez, MD, Department of Dermato-Oncology, Centro Dermatológico Dr. “Ladislao de la Pascua”,
Mexico City, Mexico. E-mail: alcalad32@yahoo.com.mx




Case Presentation                                                        Teaching Point
A 46-year-old male with history of complete surgical excision            The diagnosis of MC is straightforward when typical
of a well-differentiated cutaneous squamous cell carcinoma               ­findings are seen; however, some cases may be indistinguish-
in the right preauricular area in 2018 visited the dermatol-             able from other tumors, such as basal cell carcinoma [1].
ogy unit complaining of 3 growing pink nodular lesions on                Dermoscopy can improve the accuracy of pink tumor di-
the scalp (Figure 1A). Dermoscopy revealed m
                                           ­ ultiple rosettes            agnosis, as rosettes can be observed in many tumoral skin
with homogeneous white-pink areas (Figure 1B). Two tumors                lesions [2]. ­Multiple pink nodular lesions on the face or
were excised with a preliminary diagnosis of basal cell carci-           scalp with rosettes on dermoscopy should raise the suspi-
noma, and histopathology reported molluscum contagiosum                  cion for MC.
(MC) (Figure 1C). As the presence of giant MC on the face                     Informed consent: Informed consent for publication of
is a clue for HIV infection, laboratory tests were performed             clinical details and clinical images was obtained from the
and confirmed the suspected cause of immunosuppression.                  patient.




Image Letter | Dermatol Pract Concept. 2022;12(1):e2022020                                                                           1
Figure 1. (A) Pink tumor on the left fronto-parietal scalp. (B) Dermoscopy demonstrated multiple rosettes. (C) Histopathology revealed
epidermal lobes in the dermis containing the molluscum bodies. (H&E, magnification ×10).




References                                                            2. Haspeslagh M, Noë M, De Wispelaere I, et al. Rosettes and
                                                                         other white shiny structures in polarized dermoscopy: Histolog-
 1. Meza-Romero R, Navarrete-Dechent C, Downey C. Molluscum              ical correlate and optical explanation. J Eur Acad Dermatology
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    31239742. PMCID: PMC6553952.




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