10.5826/dpc.1201a12
text/xml
2160-9381
1758
en
Zsuzsanna Lengyel
https://creativecommons.org/licenses/by-nc/4.0
Dermatology Practical & Conceptual
Protrusions Within a Pink-Yellow Plaque 
Text.Serial.Journal
https://dpcj.org/index.php/dpc
Image Letter
2022-02-02
2021-04-22
2022-02-02
2022-02-09
e2022012
Dermatol Pract Concept
Zsuzsanna Lengyel
2022/02/02
10.5826/dpc.1201a12
e2022012
Department of Dermatology, Venerology and Oncodermatology, Medical School, Clinical Center - University of Pécs, Pécs, Hungary
2160-9381
en
e2022012
Kogame T, Ohe S, Yamazaki F, Okamoto H, Kiyohara T. Extraocular sebaceous carcinoma accompanied by invasive squamous cell carcinoma: The first case report and consideration of histogenesis. J Dermatol. 2018;45(4):501-504. DOI: 10.1111/1346-8138.14196. PMID: 29266386.
Protrusions Within a Pink-Yellow Plaque 
https://dpcj.org/index.php/dpc/article/download/1758/1483
                 Protrusions Within a Pink-Yellow Plaque
             Csongor Németh1, Melánia Pozsgai1, Rolland Gyulai1, Zsuzsanna Lengyel1


1 Department of Dermatology, Venerology and Oncodermatology, Medical School, Clinical Center - University of Pécs, Pécs, Hungary



Citation: Németh C, Pozsgai M, Gyulai R, Lengyel Z. Protrusions within a pink-yellow plaque. Dermatol Pract Concept.
2022;12(1):e2022012. DOI: https://doi.org/10.5826/dpc.1201a12
Accepted: April 29, 2021; Published: January 2022
Copyright: ©2022 Németh 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: Zsuzsanna Lengyel MD, PhD. Department of Dermatology, Venerology and Oncodermatology,
Medical School, Clinical Center - University of Pécs, Hungary. E-mail: lengyel.zsuzsanna@pte.hu




Case Presentation                                                        cell carcinoma and superficial sebaceous carcinoma (SC).
                                                                         The lesion was excised with safety margin. Pathology
A 74-year-old woman with a history of several skin tumors
                                                                         ­confirmed the previous diagnosis.
was referred to our center. She complained of a lesion localized
on the right flank, growing for 15 months. Upon examination,
a 75 mm × 30 mm pinkish-yellowish plaque was observed.
                                                                         Teaching point
Within the lesion, three red, firm, keratotic papules were seen          Sebaceous carcinoma tends to mimic squamous and basal
(Figure 1A). Dermoscopy showed yellow globules with indis-               cell carcinomas. The presence of yellowish structures and
tinct borders on a whitish-erythematous background. In the               polymorphous vessels are features suggestive of SC. Some
yellowish structures, polymorphous vessels consisting of l­inear         suggest that extraocular SC might originate from preexisting
irregular vessels and curved vessels were seen. Within the pap-          intraepidermal squamous neoplasia [1,2].
ules hairpin, coiled vessels were present (Figure 1, B-D).                    Informed consent: Written informed consent for publica-
    Due to the large size, an incisional biopsy was performed.           tion of clinical details and clinical images was obtained from
Histopathology revealed the collision of an in-situ squamous             the patient.




Image Letter | Dermatol Pract Concept. 2022;12(1):e2022012                                                                           1
Figure 1. (A) Clinical picture of the lesion. (B-D) Dermoscopy demonstrated white-pink areas with yellow structures throughout the lesion
with polymorphous vessels (arrows)




References                                                             2. Kogame T, Ohe S, Yamazaki F, Okamoto H, Kiyohara T. Extra-
                                                                          ocular sebaceous carcinoma accompanied by invasive squamous
 1. Horimoto K, Kato J, Sumikawa Y, et al. Dermoscopic features           cell carcinoma: The first case report and consideration of histo-
    distinctive for extraocular sebaceous carcinoma. J Dermatol.          genesis. J Dermatol. 2018;45(4):501–504. DOI: 10.1111/1346
    2018;45(4):487–490. DOI: 10.1111/1346-8138.14170. PMID:               -8138.14196. PMID: 29266386.
    29235655




2                                                                            Image Letter | Dermatol Pract Concept. 2022;12(1):e2022012
