Atypical Presentation of Spindle Cell Lipoma in a Young Male with a History of Malignant Melanoma
2024

Atypical Presentation of Spindle Cell Lipoma in a Young Male

Sample size: 1 publication Evidence: moderate

Author Information

Author(s): Theriot Ty, Cattar John David, Falgout Lacey, Culotta Nicholas, Haas Christopher

Primary Institution: Department of Dermatology, Louisiana State University Health Sciences Center, New Orleans, LA

Conclusion

The case highlights the importance of including spindle cell lipoma in the differential diagnosis of CD34-positive spindle cell tumors, even with atypical presentations.

Supporting Evidence

  • The patient presented with an erythematous plaque with central hyperpigmentation on the right upper arm.
  • Histopathological examination revealed an atypical myxoid spindle cell neoplasm with CD34 positivity.
  • A wide local excision with 2 cm margins was performed, and subsequent pathology confirmed clear margins.

Takeaway

This study talks about a young man who had a rare type of fat tumor in an unusual spot on his arm, which looked different because of his past skin cancer.

Methodology

The patient underwent a punch biopsy followed by a wide local excision with 2 cm margins.

Participant Demographics

26-year-old male with a history of malignant melanoma.

Digital Object Identifier (DOI)

10.3390/dermatopathology11040036

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