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April 1961


Arch Dermatol. 1961;83(4):692-698. doi:10.1001/archderm.1961.01580100156030

Diagnosis: Eccrine Spiradenoma. A Slide Demonstration. Presented by Dr. Alfred W. Kopf.  A Puerto Rican woman, aged 46 years, had a 2 cm. sized mass on the neck of 4 to 5 years' duration. The mass was extremely tender to slight compression but otherwise asymptomatic. Examination revealed a moderately firm, raised, smooth surfaced mass, which on palpation was freely moveable and had an irregular nubbiness. The skin overlying the lesion was stretched, shiny, and had fine telangiectasias radiating from its center to the periphery.The lesion was surgically excised in 1956, and there had been no recurrence in 4 years of follow-up.The histopathology of the lesion is as follows: A well-encapsulated tumor is seen in the deep cutis. The plane of the section does not include epidermis. The tumor is a dense cellular structure interrupted by areas of stroma with dilated vessels. The epithelial portion of the tumor is

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