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April 1976

Basal Cell Carcinoma Overlying Dermatofibroma

Author Affiliations

Birmingham, Mich

Arch Dermatol. 1976;112(4):563. doi:10.1001/archderm.1976.01630280081045

To the Editor.—  I was pleased to see the article by Goette and Helwig, concerning basal cell carcinomas and basal cell carcinoma-like changes overlying dermatofibromas, in the May 1975 issue of the Archives.1 I agree that the changes seen in three of their cases are those of basal cell carcinoma and that these are probably an extension of the spectrum of epidermal changes that can be seen overlying histiocytoma.I would have been valuable and reassuring to the clinician if the authors had given some idea of the relative incidence of such extreme and definite changes, other than that the cases had been culled from a 22-year accumulation of data by the Armed Forces Institute of Pathology. There certainly must have been a very large number of histiocytomas, dermatofibromas, and sclerosing hemangiomas in their collection; to find only three of them showing these changes would make such an occurrence

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