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Immunohistochemical features of multifocal melanoacanthoma in the hard palate: a case report
BACKGROUND: Melanoacanthoma (MA) has been described in the oral mucosa as a solitary lesion or, occasionally, as multiple lesions. MA mainly affects dark skinned patients and grows rapidly, showing a plane or slightly raised appearance and a brown to black color. The differential diagnosis includes...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3568418/ https://www.ncbi.nlm.nih.gov/pubmed/23356913 http://dx.doi.org/10.1186/1756-0500-6-30 |
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author | das Chagas e Silva de Carvalho, Luis Felipe Farina, Vitor Hugo Cabral, Luiz Antonio Guimarães Brandão, Adriana Aigotti Haberbeck Coletta, Ricardo Della Almeida, Janete Dias |
author_facet | das Chagas e Silva de Carvalho, Luis Felipe Farina, Vitor Hugo Cabral, Luiz Antonio Guimarães Brandão, Adriana Aigotti Haberbeck Coletta, Ricardo Della Almeida, Janete Dias |
author_sort | das Chagas e Silva de Carvalho, Luis Felipe |
collection | PubMed |
description | BACKGROUND: Melanoacanthoma (MA) has been described in the oral mucosa as a solitary lesion or, occasionally, as multiple lesions. MA mainly affects dark skinned patients and grows rapidly, showing a plane or slightly raised appearance and a brown to black color. The differential diagnosis includes oral nevi, amalgam tattoos, and melanomas. We report here the case of a 58-year-old black woman who presented multiple pigmented lesions on the hard palate. CASE PRESENTATION: Based on the differential diagnosis of melanoma, a punch biopsy (4 mm in diameter) was performed. The material was fixed in 10% formalin, embedded in paraffin, and stained with hematoxylin-eosin or submitted to immunohistochemical analysis. Immunohistochemistry using antibodies against protein S-100, melan-A, HMB-45, MCM-2, MCM-5, Ki-67 and geminin was performed. Immunohistochemical analysis revealed strong cytoplasmic immunoreactivity of dendritic melanocytes for proteinS-100, HMB-45 and melan-A.Positive staining for proliferative markers (MCM-2, MCM-5, Ki-67) was only observed in basal and suprabasal epithelial cells, confirming the reactive etiology of the lesion. The diagnosis was oral Melanoacanthoma (MA). CONCLUSION: The patient has been followed up for 30 months and shows no clinical alterations. MA should be included in the differential diagnosis of pigmented lesions of the oral cavity. |
format | Online Article Text |
id | pubmed-3568418 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-35684182013-02-11 Immunohistochemical features of multifocal melanoacanthoma in the hard palate: a case report das Chagas e Silva de Carvalho, Luis Felipe Farina, Vitor Hugo Cabral, Luiz Antonio Guimarães Brandão, Adriana Aigotti Haberbeck Coletta, Ricardo Della Almeida, Janete Dias BMC Res Notes Case Report BACKGROUND: Melanoacanthoma (MA) has been described in the oral mucosa as a solitary lesion or, occasionally, as multiple lesions. MA mainly affects dark skinned patients and grows rapidly, showing a plane or slightly raised appearance and a brown to black color. The differential diagnosis includes oral nevi, amalgam tattoos, and melanomas. We report here the case of a 58-year-old black woman who presented multiple pigmented lesions on the hard palate. CASE PRESENTATION: Based on the differential diagnosis of melanoma, a punch biopsy (4 mm in diameter) was performed. The material was fixed in 10% formalin, embedded in paraffin, and stained with hematoxylin-eosin or submitted to immunohistochemical analysis. Immunohistochemistry using antibodies against protein S-100, melan-A, HMB-45, MCM-2, MCM-5, Ki-67 and geminin was performed. Immunohistochemical analysis revealed strong cytoplasmic immunoreactivity of dendritic melanocytes for proteinS-100, HMB-45 and melan-A.Positive staining for proliferative markers (MCM-2, MCM-5, Ki-67) was only observed in basal and suprabasal epithelial cells, confirming the reactive etiology of the lesion. The diagnosis was oral Melanoacanthoma (MA). CONCLUSION: The patient has been followed up for 30 months and shows no clinical alterations. MA should be included in the differential diagnosis of pigmented lesions of the oral cavity. BioMed Central 2013-01-28 /pmc/articles/PMC3568418/ /pubmed/23356913 http://dx.doi.org/10.1186/1756-0500-6-30 Text en Copyright ©2013 das Chagas e Silva de Carvalho et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report das Chagas e Silva de Carvalho, Luis Felipe Farina, Vitor Hugo Cabral, Luiz Antonio Guimarães Brandão, Adriana Aigotti Haberbeck Coletta, Ricardo Della Almeida, Janete Dias Immunohistochemical features of multifocal melanoacanthoma in the hard palate: a case report |
title | Immunohistochemical features of multifocal melanoacanthoma in the hard palate: a case report |
title_full | Immunohistochemical features of multifocal melanoacanthoma in the hard palate: a case report |
title_fullStr | Immunohistochemical features of multifocal melanoacanthoma in the hard palate: a case report |
title_full_unstemmed | Immunohistochemical features of multifocal melanoacanthoma in the hard palate: a case report |
title_short | Immunohistochemical features of multifocal melanoacanthoma in the hard palate: a case report |
title_sort | immunohistochemical features of multifocal melanoacanthoma in the hard palate: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3568418/ https://www.ncbi.nlm.nih.gov/pubmed/23356913 http://dx.doi.org/10.1186/1756-0500-6-30 |
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