Clear cell acanthoma on the areola

Luis J. Borda, Joshua S. Mervis, Paolo Romanelli, Hadar Lev-Tovv

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Clear cell acanthoma (CCA) is a rare, benign cutaneous condition most often seen on the lower extremities. Lesions are of variable morphology and have been described as polypoid, pigmented, giant, and cystic lesions. Although no racial or gender predilection has been reported, CCA on the breast is a very rare finding that has been observed mainly in young Korean women. Herein, we describe a case of CCA of the areola in an elderly woman with metastatic renal cell carcinoma. Physical exam revealed a pink plaque with central erosions on the left areola. Given the concern for cutaneous metastasis, excisional biopsy was performed, which showed pale glycogenated epithelium consistent with CCA. No evidence of recurrence or new lesions was observed after 6 months of follow-up. Our case exemplifies that clinicians should consider CCA in the differential diagnosis for a new eczematous lesion involving the breast, even in the setting of malignancy.

Original languageEnglish (US)
Article number17
JournalDermatology Online Journal
Volume24
Issue number7
StatePublished - Jul 1 2018

Fingerprint

Acanthoma
Nipples
Breast
Skin
Renal Cell Carcinoma
Lower Extremity
Differential Diagnosis
Epithelium
Neoplasm Metastasis
Biopsy
Recurrence
Neoplasms

Keywords

  • Areola
  • Breast
  • Clear cell acanthoma
  • Metastasis
  • Renal cell carcinoma

ASJC Scopus subject areas

  • Dermatology

Cite this

Borda, L. J., Mervis, J. S., Romanelli, P., & Lev-Tovv, H. (2018). Clear cell acanthoma on the areola. Dermatology Online Journal, 24(7), [17].

Clear cell acanthoma on the areola. / Borda, Luis J.; Mervis, Joshua S.; Romanelli, Paolo; Lev-Tovv, Hadar.

In: Dermatology Online Journal, Vol. 24, No. 7, 17, 01.07.2018.

Research output: Contribution to journalArticle

Borda, LJ, Mervis, JS, Romanelli, P & Lev-Tovv, H 2018, 'Clear cell acanthoma on the areola', Dermatology Online Journal, vol. 24, no. 7, 17.
Borda LJ, Mervis JS, Romanelli P, Lev-Tovv H. Clear cell acanthoma on the areola. Dermatology Online Journal. 2018 Jul 1;24(7). 17.
Borda, Luis J. ; Mervis, Joshua S. ; Romanelli, Paolo ; Lev-Tovv, Hadar. / Clear cell acanthoma on the areola. In: Dermatology Online Journal. 2018 ; Vol. 24, No. 7.
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