1. Subungual Osteogenic Malignant Melanoma
- Author
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Rastko Golouh and Andreja Zidar
- Subjects
0301 basic medicine ,Pathology ,medicine.medical_specialty ,biology ,Osteoid ,business.industry ,Melanoma ,Vimentin ,Fungal granuloma ,medicine.disease ,Pathology and Forensic Medicine ,03 medical and health sciences ,030104 developmental biology ,0302 clinical medicine ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,medicine ,biology.protein ,Nail (anatomy) ,Immunohistochemistry ,Neoplasm ,Surgery ,Sarcoma ,Anatomy ,business - Abstract
Osteogenic melanoma may mimic many other tumors, especially osteogenic sarcoma; only 12 cases have been reported so far. To characterize this unusual neoplasm further, we present the clinicopathologic findings of a new case. A 67-year-old woman was treated unsuccessfully for “fungal granuloma” of her great toe. After nail ablation and incisional biopsy, the toe was exarticulated. Histologically, we found a high-grade, spindle, focally epithelioid, amelanotic malignant tumor with a distinct osteoid and chondroid matrix. Spindle, epithelioid, osteoblastic, and chondroblastic tumor cells were immunoreactive for vimentin, S-100 protein, and NKI/C3. Ultrastructurally, diagnostic premelanosomes were not identified. Features that support a diagnosis of osteogenic melanoma are superficial subungual location, absence of bone involvement, and immunoreactivity for vimentin, S-100 protein, and NKI/C3. The unusual features of current tumor are absence of radial growth phase, negative reaction to HMB-45, and ultrastructural absence of melanosomes.
- Published
- 1997
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