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Year : 2015  |  Volume : 81  |  Issue : 6  |  Page : 652-653

A fleshy protuberant growth on the leg


1 Department of Dermatology, Venereology and Leprosy, Dr. P.N. Behl Skin Institute and School of Dermatology, New Delhi, India
2 Department of Pathology, National Institute of Pathology, Indian Council of Medical Research, New Delhi, India

Date of Web Publication28-Oct-2015

Correspondence Address:
Sarvesh Sunil Thatte
Department of Dermatology, Venereology and Leprosy, Dr. P.N. Behl Skin Institute and School of Dermatology, New Delhi - 110 048
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0378-6323.168338

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How to cite this article:
Bhushan P, Thatte SS, Singh A. A fleshy protuberant growth on the leg. Indian J Dermatol Venereol Leprol 2015;81:652-3

How to cite this URL:
Bhushan P, Thatte SS, Singh A. A fleshy protuberant growth on the leg. Indian J Dermatol Venereol Leprol [serial online] 2015 [cited 2020 Aug 14];81:652-3. Available from: http://www.ijdvl.com/text.asp?2015/81/6/652/168338


An 18-year-old boy presented with an asymptomatic, occasionally bleeding, flesh colored growth on his left leg for 10 years. A well-defined, 3 cm × 4 cm, flesh colored, sessile, soft, mobile, non-tender, nodule was noted on the left calf. The nodule protruded slightly from a shallow cup-shaped depression and had a slightly raised hyperpigmented rim. There was scaling and crusting of the surrounding skin because of repeated cleaning of the growth and surrounding area with undiluted 10% povidone-iodine solution [Figure 1]. There were no other abnormalities on mucocutaneous examination.
Figure 1: Central mass projecting out of the cup-shaped moat

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Histopathological examination revealed a well circumscribed tumor arising from the epidermis in the form of broad and anastomosing columns of basaloid cells along with necrosis en masse and a fibrovascular stroma [Figure 2]. Medium power revealed small and uniform oval cells with a central nucleus, some ductal lumina and a fibrovascular core [Figure 3].
Figure 2: A well circumscribed tumor arising from epidermis consisting of broad and anastomosing columns of basaloid cells along with necrosis en masse (arrow) (H and E, ×40)

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Figure 3: Small and uniform oval cells with central nucleus and some ductal lumina (H and E, ×100)

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  References Top

1.
Srivastava D, Taylor RS. Appendage tumors and hamartomas of the skin. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolf K, editors. Fitzpatrick's Dermatology in General Medicine. 8th ed. New York: McGraw-Hill; 2012. p. 1337-62.  Back to cited text no. 1
    
2.
Agarwal S, Kumar B, Sharma N. Nodule on the chest. Eccrine poroma. Indian J Dermatol Venereol Leprol 2009;75:639.  Back to cited text no. 2
    
3.
McCalmont TH. Adnexal neoplasms. In: Bolognia JL, Jorizzo JL, Schaffer JV, editors. Dermatology. 3rd ed. China: Elsevier Limited; 2012. p. 1829-49.  Back to cited text no. 3
    
4.
Mantri MD, Dandale A, Dhurat RS, Ghate S. Pedunculated poroma on forearm: A rare clinical presentation. Indian Dermatol Online J 2014;5:469-71.  Back to cited text no. 4
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5.
Joshi RR, Nepal A, Ghimire A, Karki S. Eccrine poroma in neck of a child – A rare presentation. Nepal Med Coll J 2009;11:73-4.  Back to cited text no. 5
    


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