Cytologic features of primary malignant tumors of skin and adnexae.
OBJECTIVE
To highlight the cytologic features of the cases seen in our institute.


METHODS
Cases of primary malignant tumors of skin and adnexae diagnosed on cytology with histopathology confirmation were retrieved from case records of 1998-2005. Clinical presentation was noted in all the cases.


RESULTS
Thirty primary malignant tumors of skin and adnexae were analyzed. Melanoma was the most common (n=12), followed by squamous cell carcinoma (SCC) (n=5). There were 3 basal cell carcinomas and 2 cases each of sebaceous carcinoma, Paget's disease of the breast and lymphoma. There were single cases of eccrine carcinoma, malignant trichilemmal tumor, undifferentiated carcinoma and extramedullary myeloid cell tumor. All the cases of hemopoietic tumors (n=3) and the majority of the cases (4 of 7) of adnexal were seen to arise from head and neck region. Marjolin's ulcer was seen in 4 of 5 SCCs. Scrape smears were obtained from 8 patients and fine needle aspiration in 22 patients.


CONCLUSIONS
Cytodiagnosis of primary malignant tumors of skin and adnexae is possible based on morphology and clinical presentation.
Prayaga
Aruna Kumari
AK
Department of Pathology, Nizam's Institute of Medical Sciences, Punjagutta, India. arunaprayaga56@yahoo.com
Loya
Anand Chayansukh
AC
Gottimukkala
Suryanarayana Raju
SR
Digumarti
Raghunadha Rao
RR
Maddali
Laxmi Srinivas
LS
Challa
Sundaram
S
D018266:Adenocarcinoma, Sebaceous / Q000473:pathology; D001943:Breast Neoplasms / Q000473:pathology; D002280:Basal Cell Carcinoma / Q000473:pathology; D002294:Carcinoma, Squamous Cell / Q000473:pathology; D003581:Cytodiagnosis; D006801:Humans; D008207:Lymphatic Metastasis; D008499:Medical Records; D008545:Melanoma / Q000473:pathology; D018294:Neoplasms, Adnexal and Skin Appendage / Q000473:pathology*; D010144:Paget's Disease, Mammary / Q000473:pathology; D012878:Skin Neoplasms / Q000473:pathology*