Squared-Off Nuclei and "appliqué" Pattern as a Histopathological Clue to Periocular Sebaceous Carcinoma: A Clinicopathological Study of 50 Neoplasms from 46 Patients

Sigrid M.C. Broekaert, Katharina Flux, Liubov Kyrpychova, Denisa Kacerovska, Doina Ivan, Michael P. Schön, Philipp Ströbel, Michal Michal, Natalja Denisjuk, Katrin Kerl, Dmitry V. Kazakov

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

The histopathological diagnosis of periocular sebaceous carcinoma can be difficult in poorly differentiated cases showing few mature sebocytes. The authors examined 50 periocular sebaceous carcinomas from 46 patients to determine the frequency of 2 features seen in this neoplasm, namely cells with squared-off nuclei and so-called "appliqué" pattern (peritumoral subnecrosis of peripherally located neoplastic cells). Neoplastic cells with squared-off nuclei were found in varying numbers in both the intraepithelial and dermal (invasive) components in all neoplasms, whereas the appliqué pattern was observed in a third of the cases. It is concluded that these features, taken together, may serve as a clue for the diagnosis of periocular sebaceous carcinoma.

Original languageEnglish (US)
Pages (from-to)275-278
Number of pages4
JournalAmerican Journal of Dermatopathology
Volume39
Issue number4
DOIs
StatePublished - Apr 1 2017

Keywords

  • appliqué pattern
  • eyelid
  • necrosis
  • periocular
  • sebaceous carcinoma
  • sebaceous differentiation
  • squared-off nuclei

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Dermatology

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