Presenter: Leeor Porges DO, Khasha Touloei DO, Alexis Stephens DO, Lise Brown DO, Jacqueline Thomas DO, Tracy Favreau DO
Dermatology Program: Broward General Medical Center
Program Director: Tracy Favreau DO
Submitted on: October 4, 2013
CHIEF COMPLAINT: Well circumscribed pedunculated friable nodule on her scalp
CLINICAL HISTORY: A 25 year old female presented with a 2 month history of a 2.4cm well circumscribed pedunculated friable nodule on her scalp. The patient had no previous medical history. The patient denied pruritus or pain from the lesion. Clinically the lesion resembled a pyogenic granuloma. A biopsy was performed which revealed alternating nests of adipose and myxoid elements with multiple dilated vascular structures.
PHYSICAL EXAM:
Clinically the lesion resembled a pyogenic granuloma.
LABORATORY TESTS: N/A
DERMATOHISTOPATHOLOGY:
A shave biopsy was performed which revealed alternating nests of adipose and myxoid elements with multiple dilated vascular structures.
DIFFERENTIAL DIAGNOSIS:
1. Angiolipoma
2. Pyogenic Granuloma
3. Myxolipoma
4. Myxoid spindle cell lipoma
5. Low grade myxofibrosarcoma
