Gerardo Cazzato, Giuseppe Ingravallo, Paola Vitiello, Francesca Pagliuca, Renato Franco, Andrea Ronchi
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Abstract
Abstract: We present the case of a 71-year-old woman with no significant medical history who developed a nodular, ulcerated lesion on her left leg, alongside bruise-like lesions on her extremities. Histologic examination revealed basal cell carcinoma with adenoid-cystic features colliding with blastic plasmacytoid dendritic cell neoplasm (BPDCN), a rare and aggressive hematologic malignancy. Immunohistochemical analysis confirmed BPDCN, with markers such as CD123, CD4, CD56, and TCL1, and a high proliferation index (Ki67 >90%). This represents the first reported case of a collision lesion comprising adenoid-cystic basal cell carcinoma and BPDCN. The findings highlight the need for comprehensive histopathologic evaluation in atypical cases to achieve an accurate diagnosis.
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The American Journal of Dermatopathology offers outstanding coverage of the latest diagnostic approaches and laboratory techniques, as well as insights into contemporary social, legal, and ethical concerns. Each issue features review articles on clinical, technical, and basic science advances and illuminating, detailed case reports.
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