Skrade Anna E, Pitchford Chase A, Neill Brett C, Chisholm Cary, Tolkachjov Stanislav N
Dermatology, University of Missouri School of Medicine, Columbia, USA.
Dermatology, Epiphany Dermatology, Rockwall, USA.
Cureus. 2022 Jul 27;14(7):e27372. doi: 10.7759/cureus.27372. eCollection 2022 Jul.
Misdiagnosing granuloma annulare (GA) for a malignant process can lead to unnecessary and costly treatment avenues for the patient. Thus, it is salient for surgeons to independently evaluate a patient's clinical and histopathologic presentation before proceeding with surgery. We present a case of a 67-year-old male with a biopsy-proven squamous cell carcinoma (SCC) on the dorsal hand who presented for Mohs micrographic surgery (MMS). At this time, the surgeon noticed the histopathologic diagnosis did not match the patient's clinical appearance. GA was diagnosed following a repeat biopsy of the lesion, which prevented an unnecessary Mohs procedure. We present this case primarily to highlight the importance of clinicopathologic correlation by the surgeon when a patient is referred for surgery.
将环状肉芽肿（GA）误诊为恶性病变会导致患者接受不必要且昂贵的治疗途径。因此，外科医生在进行手术前独立评估患者的临床和组织病理学表现非常重要。我们报告一例67岁男性病例，其手背经活检证实为鳞状细胞癌（SCC），前来接受莫氏显微外科手术（MMS）。此时，外科医生注意到组织病理学诊断与患者的临床表现不符。对病变进行重复活检后诊断为GA，从而避免了不必要的莫氏手术。我们呈现此病例主要是为了强调当患者被转诊进行手术时，外科医生进行临床病理相关性分析的重要性。
