Case Western Reserve University School of Medicine, Department of Dermatology, Cleveland, OH; and.
Cleveland Clinic, Plastic Surgery and Dermatology Institute, Department of Dermatology, Cleveland, OH.
Am J Dermatopathol. 2023 Mar 1;45(3):192-195. doi: 10.1097/DAD.0000000000002373. Epub 2023 Jan 10.
Adenodermatofibromas are an extremely rare subtype of dermatofibroma (DF) characterized by a dermal proliferation of spindle-shaped fibroblasts and histocytes, dilated glandular structures with apocrine secretion, and prominent vascular proliferation, with or without hemosiderotic features. We describe a recent extraordinary case of a hemosiderotic adenodermatofibroma in a 25-year-old female. We review histologic findings and theories behind etiology, as well as review the spectrum of clinical presentations for this lesion. We also discuss imaging findings that may make identification of these entities challenging.
腺纤维瘤样痣是一种非常罕见的纤维瘤病（DF）亚型，其特征是真皮内梭形成纤维细胞和组织细胞增生，伴有大汗腺分泌的扩张腺管结构，以及明显的血管增生，伴有或不伴有含铁血黄素特征。我们描述了一例 25 岁女性罕见的含铁血黄素腺纤维瘤样痣病例。我们回顾了组织学发现和病因理论，并复习了该病变的临床表现谱。我们还讨论了可能使这些实体的识别具有挑战性的影像学发现。
