J Plast Reconstr Aesthet Surg 2017 Jul 26. Epub 2017 Jul 26.

The Welsh Centre of Burns and Plastic Surgery, Morriston Hospital, Swansea, SA6 6NL, UK.

Clin Lab Med 2017 Sep 15;37(3):603-631. Epub 2017 Jun 15.

Division of Anatomic Pathology, Department of Laboratory Medicine and Pathology, Mayo Clinic College of Medicine, Mayo Clinic, Hilton 11, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address:

Fibrohistiocytic tumors are a diverse group of reactive and neoplastic lesions including xanthoma, fibrous histiocytoma and its variants, solitary xanthogranuloma, dermatofibrosarcoma protuberans, and atypical fibroxanthoma. This article reviews some of the more commonly encountered fibrohistiocytic tumors with an emphasis on clinical presentation, macroscopic and histologic characteristics, molecular/cytogenetic findings where applicable, and differential diagnoses. Read More

Actas Dermosifiliogr 2017 Aug 9. Epub 2017 Aug 9.

Unidad de Investigación, Fundación Piel Sana, Academia Española de Dermatología, Madrid, España.

Introduction: The Spanish Mohs Surgery Registry is used to collect data on the use and outcomes of Mohs micrographic surgery (MMS) in Spain. The aim of this study was to describe perioperative and intraoperative data recorded for MMS procedures performed between July 2013 (when the registry started) and January 2016.

Material And Methods: Prospective cohort study of data from 18 hospitals. Read More

Curr Treat Options Oncol 2017 Aug 10;18(9):56. Epub 2017 Aug 10.

Dermatology Oncology Universidad Militar Nueva Granada, Instituto Nacional de Cancerología, Calle 1a No. 9-85, Bogotá, Colombia.

Opinion Statement: Dermatofibrosarcoma protuberans (DFSP) is a slow growing tumor with a very low metastatic potential but with significant subclinical extension and great capacity for local destruction. Thus, the first surgeon approached with such challenging tumor must attempt to cure the patient with a method that spares healthy tissue and ensures an optimal oncological, functional, and esthetic result. The treatment of DFSP often requires a multidisciplinary approach. Read More

Mod Pathol 2017 Aug 4. Epub 2017 Aug 4.

Department of Pathology, University of California San Francisco, San Francisco, CA, USA.

The diagnosis of malignant peripheral nerve sheath tumors can be challenging and other spindle cell sarcomas commonly enter in the differential diagnosis. Loss of trimethylation at lysine 27 of histone-H3 (H3K27me3) by immunohistochemistry was recently described in malignant peripheral nerve sheath tumors. However, its specificity remains controversial. Read More

Ann Chir Plast Esthet 2017 Jul 26. Epub 2017 Jul 26.

Service de chirurgie maxillo-faciale, stomatologie et chirurgie orale, centre François-Xavier-Michelet, groupe hospitalier Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France.

Objectives: The main objective of this study is to determine the necessary surgical margins to obtain a complete R0 resection for head and neck dermatofibrosarcoma protuberans (DFSP) using Slow-Mohs micrographic surgery. The secondary objective is to study the recurrence rate of these tumors.

Patients And Methods: Slow-Mohs micrographic surgery was used for patients included between 2005 and 2015 at Bordeaux universitary hospital. Read More

Int J Surg Oncol 2017 2;2017:9805980. Epub 2017 Jul 2.

Skin Cancer Department, AC Camargo Cancer Center, São Paulo, SP, Brazil.

Reconstructive surgery following skin tumor resection can be challenging. Treatment options after removing the tumor are skin grafting, local pedicled and axial flaps, or microsurgery for complex and extensive wounds correction. Recently, the use of dermal substitutes has been extended to reconstructive surgery in cutaneous oncology. Read More

J Cutan Med Surg 2017 Jul 1:1203475417722733. Epub 2017 Jul 1.

1 Department of Pathology and Laboratory Medicine, University of Calgary and Calgary Lab Services, Calgary, AB, Canada.

Background: CD34-positive plaque-like dermal fibroma (PDF) is a poorly characterised benign dermal neoplasm that has a wide differential diagnosis. It can be mistaken for other entities on superficial biopsy and be overtreated, leading to unnecessary worry and extensive surgery.

Objective: To report on an uncommon presentation of this entity, the histopathologic differential diagnosis of PDF, and a novel treatment method. Read More

Hum Pathol 2017 Jul 12. Epub 2017 Jul 12.

Department of Anatomic Pathology, Pathological Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. Electronic address:

Dermatofibrosarcoma protuberans (DFSP) is a cutaneous mesenchymal tumor of intermediate malignancy and fibroblastic/myofibroblastic differentiation. Fibrosarcomatous (FS) component is a high-grade component of DFSP. The detailed oncogenic difference between DFSP and FS components is not clear. Read More

Virchows Arch 2017 Jul 12. Epub 2017 Jul 12.

Department of Pathology, NHS Lothian University Hospitals Trust and University of Edinburgh, Edinburgh, UK.

In this short review, malignant mesenchymal neoplasms of the dermis and subcutis mimicking benign lesions and their differential diagnoses are discussed. These include plaque-like dermatofibrosarcoma protuberans, superficial low-grade fibromyxoid sarcoma, low-grade superficial malignant peripheral nerve sheath tumour, epithelioid sarcoma, pseudomyogenic haemangioendothelioma, Kaposi sarcoma mimicking cavernous haemangioma and benign lymphangioendothelioma, and rare forms of angiosarcoma mimicking a benign vascular lesion. Read More

Oncol Lett 2017 Jul 19;14(1):993-998. Epub 2017 May 19.

Department of Pathology, Faculty of Medicine in Plzeň, Charles University in Prague, 32300 Plzeň, Czech Republic.

Dermatofibrosarcoma protuberans (DFSP) is a rare malignant tumor of subcutaneous tissue characterized by slow infiltrative growth. The tumor occurs in patients of all ages, with the highest frequency occurring between the second and the fifth decades of age. Genetically, DFSP is characterized by a reciprocal translocation t(17;22)(q22;q13), or more often, as a supernumerary ring chromosome involving chromosomes 17 and 22. Read More

J Cutan Pathol 2017 Sep 13;44(9):794-797. Epub 2017 Jul 13.

Department of Pathology and Laboratory Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

Dermatofibrosarcoma protuberans (DFSP) is a low-grade mesenchymal neoplasm with a tendency for local recurrence; it is rarely metastatic. Dermatofibrosarcoma protuberans typically arises in the trunk and proximal extremities. However, it can arise in unusual sites such as the hands and feet. Read More

J Eur Acad Dermatol Venereol 2017 Jun 16. Epub 2017 Jun 16.

Klinik für Dermatologie, Universitätsklinikum Dresden, Dresden, Germany.

Am J Dermatopathol 2017 Jul;39(7):504-507

*Department of Pathology, Baylor University Medical Center, Dallas, TX; †Department of Pathology, Pathologist Biomedical Laboratories, Dallas, TX; ‡Department of Pathology, UF Health, Jacksonville, Jacksonville, FL; §Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX; and ¶Department of Pathology, MD Anderson Cancer Center, Houston, TX.

Dermatofibromas (DF) are common, benign, skin tumors, usually easily differentiated from dermatofibrosarcoma protuberans (DFSP) by the presence of a relative low cellularity, lesser degree of infiltration of subcutaneous tissue, and immunohistochemical pattern (eg, FXIIIa in DF and CD34 in DFSP). Atypical fibrohistiocytic lesions (AFL) have features intermediate to DF and DFSP (trunk location, storiform pattern, infiltration of the subcutaneous tissue, and focal expression of both CD34 and Factor XIIIa). It is unclear if mitotic counts/degree of proliferation is helpful to distinguish DF from DFSP. Read More

Surg Neurol Int 2017 26;8:82. Epub 2017 May 26.

Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran-Dr. Hasan Sadikin Hospital, Bandung, West Java, Indonesia.

Background: Dermatofibrosarcoma protuberans (DFSP) is a rare low-grade sarcoma of the fibroblast originating from the dermal layer of the skin, characterized by a locally aggressive growth and high rate of local recurrence.

Case Description: Two patients underwent a wide radical excision of recurrent scalp DFSP which was reconstructed with translational skin flap and split-thickness skin graft. We described above cases several years ago with a local excision of the tumor; recently, they developed local recurrence of DFSP with calvarial involvement. Read More

J Cancer 2017 12;8(7):1319-1323. Epub 2017 May 12.

Division of Oncology, Department of Pediatric Surgery, West China Hospital of Sichuan University, Chengdu, 610041, China.

Dermatofibrosarcoma protuberans (DESP) is a relatively rare and low-grade tumor of the skin and soft tissue. We review the clinical features, pathological findings and management of recurrent DESP with the aim to improve our understanding of this rare tumor. Fifty-seven patients were diagnosed with recurrent DFSP. Read More

Dermatol Surg 2017 Jun 6. Epub 2017 Jun 6.

Department of Dermatology, Stanford University School of Medicine, Redwood City, CaliforniaDavid Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CaliforniaDepartment of Pathology, Cedars-Sinai Medical Center, Los Angeles, CaliforniaDepartment of Dermatology, Kaiser Permanente Los Angeles, Los Angeles, California.

J Dtsch Dermatol Ges 2017 Jun;15(6):630-648

Department of Dermatology and Allergology, Munich Technical University, Munich, Germany.

Cutaneous sarcomas comprise a heterogeneous group of mesenchymal spindle cell tumors of the dermis and subcutis, one of the best-known entities being dermatofibrosarcoma protuberans. Other sarcomas addressed in this review include atypical fibroxanthoma, cutaneous undifferentiated pleomorphic sarcoma, leiomyosarcoma, liposarcoma, and angiosarcoma. With the exception of dermatofibrosarcoma protuberans, which has its peak incidence in middle-aged adults, cutaneous sarcomas usually occur in elderly individuals starting in the sixth or seventh decade of life. Read More

J Dtsch Dermatol Ges 2017 Jun;15(6):630-649

Klinik und Poliklinik für Dermatologie und Allergologie, Technische Universität München.

Cutaneous sarcomas comprise a heterogeneous group of mesenchymal spindle cell tumors of the dermis and subcutis, one of the best-known entities being dermatofibrosarcoma protuberans. Other sarcomas addressed in this review include a typical fibroxanthoma, cutaneous undifferentiated pleomorphic sarcoma, leiomyosarcoma, liposarcoma, and angiosarcoma. With the exception of dermatofibrosarcoma protuberans, which has its peak incidence in middle-aged adults, cutaneous sarcomas usually occur in elderly individuals starting in the sixth or seventh decade of life. Read More

Indian Dermatol Online J 2017 May-Jun;8(3):195-197

Department of Dermatology, Topiwala National Medical College and B.Y.L. Nair Hospital, Mumbai, Maharashtra, India.

Dermatofibrosarcoma protuberans (DFSP) is an uncommon soft tissue neoplasm of low-to-intermediate grade malignant potential. Childhood onset of DFSP is rare. It is most commonly seen on the trunk and proximal extremities. Read More

J Eur Acad Dermatol Venereol 2017 Jun 2. Epub 2017 Jun 2.

Department of Health Science, University of Eastern Piedmont, Novara, Italy.

Background: Dermatofibrosarcoma protuberans (DFSP) is a rare, low-grade mesenchymal skin tumour, characterized by slow infiltrative growth and common local recurrence, with infrequent distant metastases.

Objective: The aim of this study is to better clarify clinicopathological characteristics of this tumour and to evaluate the cure rates of Mohs Tübingen technique (MTT) and wide local excision (WLE). Eventually, we perform a literature review to compare our experience with published data. Read More

J Int Med Res 2017 Jun 28;45(3):1273-1278. Epub 2017 May 28.

Department of Pathology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.

Extragastrointestinal stromal tumors (EGISTs) are rare tumors that arise outside the digestive tract. We report a case of an EGIST arising in the subcutaneous tissue of the abdominal wall, which at this site can often be misdiagnosed as dermatofibrosarcoma protuberans. The tumor was surgically resected from a 72-year-old male Chinese Han patient, and pathological examination revealed spindle-shaped tumor cells with eosinophilic cytoplasm and an oval nucleus. Read More

Anticancer Res 2017 06;37(6):2867-2873

Department of Dermatology, Tohoku University Graduate School of Medicine, Sendai, Japan.

Background/aim: Dermatofibrosarcoma protuberance (DFSP) is a fibrohistiocytic tumor of intermediate malignancy characterized by slow infiltrative growth and a high tendency to recur locally. Periostin is involved in modulating cell function and inducing the production of proinflammatory cytokines, chemokines, and matrix metalloproteinases (MMPs) from tumor-associated macrophages (TAMs) to promote fibrosis and tumor growth. This study aimed to examine the cancer stroma of DFSP, focusing on TAMs-related proteins and MMPs. Read More

J Hand Surg Am 2017 May 24. Epub 2017 May 24.

Division of Plastic Surgery, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, RI. Electronic address:

In this case report, we present a 3-year-old boy with a diagnosis of dermatofibrosarcoma protuberans (DFSP) on the dorsum of his right hand. Although rarely metastatic, DFSP is highly locally invasive and can cause considerable local morbidity. In the hand, DFSP is uncommon in the young pediatric patient. Read More

Indian J Surg Oncol 2017 Jun 22;8(2):198-202. Epub 2016 Nov 22.

Department of Pathology, Bhopal Memorial Hospital and Research Centre, Raisen Bypass Road, Bhopal, 462038 India.

Dermatofibrosarcoma protuberans is a rare soft tissue sarcoma that arises from the dermis and invades deeper tissues. Usually, it behaves as an intermediate grade malignancy but in rare instances, it can metastasize. Frequent occurrences have been observed in trunk and extremities but involvement of the breast has rarely been reported. Read More

Diagn Cytopathol 2017 Sep 24;45(9):784-788. Epub 2017 May 24.

Department of Pathology, Gujarat Cancer And Research Institute (GCRI), Ahmedabad, Gujarat, India.

Background: Soft-tissue sarcoma (STS) rarely metastasizes to lymph node compared to carcinoma. Fine-needle aspiration cytology (FNAC) carries a pivotal role in diagnosis of metastatic tumor to lymph node. This study highlights the role of FNAC in diagnosis of STS metastasis to lymph node. Read More

Eur J Surg Oncol 2017 May 6. Epub 2017 May 6.

The Sarcoma Unit, The Royal Marsden Hospital NHS Foundation Trust, London, United Kingdom. Electronic address:

Background: Soft tissue tumours of the abdominal wall account for approximately 10% of all soft tissue tumours. Tumours at this site comprise a heterogeneous group of pathologies with distinct clinical behaviours and responses to treatment. The management of these tumours has largely been extrapolated from studies of soft tissue tumours at other sites. Read More

Mol Clin Oncol 2017 May 17;6(5):665-668. Epub 2017 Mar 17.

Department of Comprehensive Clinical Oncology, Faculty of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan.

Dermatofibrosarcoma protuberans (DFSP) is a locally invading tumor, characterized by the presence of the collagen type I α 1 (COL1A1)-platelet-derived growth factor (PDGF) β fusion gene. We herein report the case of a 31-year-old man with a history of resection of an abdominal wall DFSP. The patient presented with chest pain and a computed tomography scan revealed a large mass in the posterior mediastinum and another mass in the right lung. Read More

ANZ J Surg 2017 May 16. Epub 2017 May 16.

Department of Neurosciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia.

G Ital Dermatol Venereol 2017 05 16. Epub 2017 May 16.

Dermatological Clinic, La Sapienza- Università di Roma, Rome, Italy.

Background: Dermatofibrosarcoma protuberans is a malignant tumor that affects exclusively the skin. It is a low- grade malignant tumor of subcutaneous tissues, characterized by a local recurrence but it seldom metastasizes. This study aims to evaluate the impact of different clinical parameters on disease free survival and overall survival of dermatofibrosarcoma protuberans patients. Read More

Radiographics 2017 May-Jun;37(3):797-812

From the Department of Radiology, Medstar Georgetown University Hospital, 3800 Reservoir Rd NW, Washington, DC 20007 (A.D.L., M.A.M.); the American Institute for Radiologic Pathology, Silver Spring, Md (M.A.M.); and the Center of Cancer Research, National Cancer Institute, Bethesda, Md (M.M.M.).

Soft-tissue sarcomas occurring in the abdomen and pelvis are an uncommon but important group of malignancies. Recent changes to the World Health Organization classification of soft-tissue tumors include the movement of gastrointestinal stromal tumors (GISTs) into the soft-tissue tumor classification. GIST is the most common intraperitoneal sarcoma. Read More

J Clin Aesthet Dermatol 2017 Apr;10(4):37-46

Ohio State University Wexner Medical Center, Columbus, Ohio.

Background: Adequate treatment and follow-up of a patient with nonmelanoma skin cancer is of utmost concern for a clinician. However, there is a lack of international consensus on recommendations for surgical excision margins. Furthermore, lack of familiarity of the published guidelines leads to a variety in practice styles. Read More

Indian J Surg 2017 Apr 16;79(2):169-172. Epub 2016 May 16.

Department of Pathology, Hospital Tuanku Jaafar, Jalan Rasah, Seremban, 70300 Malaysia.

Dermatofibrosarcoma protuberans (DFSP) is an uncommon slow growing neoplasm of the dermis with tendency to invade the subcutaneous tissues. It presents during the third to fourth decade of life and is commonly seen over the trunk, extremities and head and neck. DFSP presenting as a breast lump is rare but few cases have been reported in the literature. Read More

Ned Tijdschr Geneeskd 2017 ;161(0):D707

Amphia Ziekenhuis, afd. Dermatologie, Breda.

Background: Dermatofibrosarcoma protuberans (DFSP) is a rare type of cutaneous soft tissue sarcoma. The tumour metastasises rarely, but the percentage of recurrences is high and the tumour can be locally very aggressive.

Case Description: A 50-year-old man was referred to our clinic for a long existing scar on his back, which had become painful in the last few weeks. Read More

J Am Acad Dermatol 2017 Sep 15;77(3):503-511.e1. Epub 2017 Apr 15.

Dermatology Department, Instituto Valenciano de Oncologia, Valencia, Spain.

Background: Dermatofibrosarcoma protuberans (DFSP) typically affects the dermis and subcutaneous tissue. The subcutaneous variant is rare.

Objective: We sought to characterize the subcutaneous DFSP (SC-DFSP) variant and compare it with cutaneous DFSP (C-DFSP). Read More

Expert Opin Pharmacother 2017 May 17;18(7):689-699. Epub 2017 Apr 17.

a Center for Dermatooncology, Department of Dermatology , University Hospital Tübingen , Tübingen , Germany.

Introduction: Non-melanoma skin cancers (NMSC) mainly comprise two different entities: basal cell carcinoma (BCC) and squamous cell carcinoma (SCC); beneath these two entities, Merkel cell carcinoma, adnexal tumors, dermatofibrosarcoma protuberans, angiosarcoma, and cutaneous lymphoma belong to NMSC. These rare skin tumors are not the topic of this review. BCC and SCC are the most common cancers diagnosed in humans. Read More

J Med Case Rep 2017 Apr 8;11(1):96. Epub 2017 Apr 8.

Unité de Recherche en Sciences de la Santé, Université Ouaga I Professeur Joseph Ki-Zerbo, Ouagadougou, Burkina Faso.

Background: Dermatofibrosarcoma protuberans is a rare tumor, representing about 0.1% of skin malignant tumors. It is characterized by local aggressiveness with significant potential for recurrence. Read More

Eur J Surg Oncol 2017 Jun 22;43(6):1134-1141. Epub 2017 Mar 22.

Department of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie Memorial Cancer Center, Institute of Oncology, Warsaw Poland.

Background: Dermatofibrosarcoma protuberans (DFSP) is rare, infiltrating dermal neoplasm, characterized by indolent growth and low probability of metastases. The first effective systemic therapy in DFSP introduced into clinical practice was imatinib, demonstrating high activity in advanced cases. The aim of the study was to perform an analysis of patients with advanced DFSP treated with imatinib, with or without surgery, in routine clinical practice with long-term follow-up. Read More

Appl Immunohistochem Mol Morphol 2017 Mar 30. Epub 2017 Mar 30.

*Department of Pathology, University of Ulsan College of Medicine, Asan Medical Center †VHS Medical Center, Seoul, Korea.

Dermatofibrosarcoma protuberans (DFSP) is a low-grade fibroblastic sarcoma with a superficial location that has been suggested to potentially be a type of mesenchymal stem cell tumor. We studied the expression of various immunomarkers, including putative stem cell markers, in a series of 57 DFSPs including variants, and 12 dermatofibromas (DFs). CD105, a mesenchymal stem cell marker, was weakly expressed in 24 DFSPs, whereas other stem cell markers, including CD133, ALK-1, and Oct3/4, were completely negative in all samples. Read More

Dermatol Surg 2017 Mar 23. Epub 2017 Mar 23.

Department of Dermatology, Keck Medicine at USC, Los Angeles, California Chicago Medical School, Rosalind Franklin University, Chicago, Illinois Department of Dermatology, Keck Medicine at USC, Los Angeles, California.

J Am Acad Dermatol 2017 Apr;76(4):591-607

Department of Dermatology, MD Anderson Cancer Center, Houston, Texas.

When treating aggressive skin cancers, pre- and postoperative imaging provides important information for treatment planning and multidisciplinary cooperation of care. It is important for dermatologists to recognize the clinical scenarios where imaging is indicated in the management of skin cancer. We here address the most common indications for imaging in cutaneous oncology and how to best utilize the modalities available. Read More

J Am Acad Dermatol 2017 Apr;76(4):579-588

Department of Dermatology, Thomas Jefferson University, Philadelphia, Pennsylvania. Electronic address:

While uncomplicated cases of nonmelanoma skin cancer can be treated with surgery, destruction, or topical therapy alone, advanced or neglected cases require more complex management decisions. Dermatologists and dermatologic surgeons should be familiar with the imaging techniques relevant to cutaneous oncology and their value in different clinical scenarios. Herein we review imaging modalities used in management of nonmelanoma skin cancer. Read More

Dermatol Surg 2017 Jun;43(6):771-774

*Department of Medicine, Division of Dermatology, Creighton University School of Medicine, Omaha, Nebraska; †Department of Biology, Loyola Marymount University, Los Angeles, California.

Background: Dermatofibrosarcoma protuberans (DFSP) is a low-to-intermediate grade cutaneous neoplasm with a low propensity for metastasis and a high rate of local recurrence. It typically presents as a dermal plaque or nodule on the trunk, limbs, or head and neck region. Vulvar DFSP has also been described, although it is less common. Read More

Eplasty 2017 21;17:ic5. Epub 2017 Feb 21.

Division of Plastic surgery, Department of Surgery, University of South Florida, Morsani College of Medicine, Tampa, FL.

Adv Anat Pathol 2017 Jul;24(4):195-200

*Department of Pathology, MetroHealth Medical Center/Case Western Reserve University †Department of Pathology, Cleveland Clinic, Cleveland, OH.

Soft-tissue pathology encompasses a wide spectrum of neoplasms that represent some of the most challenging and problematic tumors in surgical pathology. Owing to the intensive work of dedicated pathologists, this once esoteric field has become increasingly well defined. In this review, Dr Sharon Weiss' monumental contributions to low-grade sarcomas, including low-grade fibromyxoid sarcoma/so-called hyalinizing spindle cell tumor, atypical lipomatous tumor/well-differentiated liposarcoma and dedifferentiated liposarcoma, epithelioid hemangioendothelioma, and dermatofibrosarcoma protuberans with fibrosarcomatous transformation will be discussed. Read More

J Thorac Dis 2017 Feb;9(2):E115-E120

Department of Thoracic Oncology, Cancer Center, West China Hospital, Medical School, Sichuan University, Chengdu 610041, China; State Key Laboratory of Biotherapy, West China Hospital, Medical School, Sichuan University, Chengdu 610041, China.

Pulmonary infections and lung cancer can resemble each other on radiographic images, which makes it difficult to diagnosis accurately and apply an appropriate therapy. Here we report two cases that two postoperative patients with lung adenocarcinoma developed diffuse nodules in bilateral lungs in a month which needed to be distinguished between metastatic malignancies and infectious diseases. Although there are much similarities in disease characteristics of two cases, patient in case one was diagnosed as acute miliary pulmonary tuberculosis (TB) while patient in case two was diagnosed as metastatic disease. Read More

Skinmed 2017 1;15(1):53-55. Epub 2017 Feb 1.

Departments of Dermatopathology, Dermatology, and Pathology and Laboratory Medicine, Rutgers-New Jersey Medical School, Newark, NJ;

JAAPA 2017 Mar;30(3):55-56

Sami Kameel Saikaly is a student in the University of Central Florida's College of Medicine. Amor Khachemoune is on the dermatology faculty at SUNY Downstate and practices at the Veterans Affairs Medical Center, both in Brooklyn, N.Y. The authors have disclosed no potential conflicts of interest, financial or otherwise.