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< Current issue
Dermatopathology: Practical & Conceptual January - March 1996
>
Searching for Diogenes: Uncloaking the Mantle
Martin Sangueza, MD
Michael Anthony Radonich, MD
A. Bernard Ackerman, MD
Introduction
1876 Unna P
1889 Kölliker A
1895 Benda C
1897 Pinkus F
1902 Hertwig O
1927 Pinkus F
1935 Zimmermann KW
1956 Epstein W, Kligman AM
1963 Strauss JS, Pochi PE
1964 Madsen A
1971 Pinkus H
1972 Hegedus SL, Schorr WF
1976 Pinkus H and Mehregan AH
1987 Ishikawa K
1990 Leshin B, White WL
1991 Mehregan A, Hashimoto K
1992 Jakubovic H, Ackerman AB
1992 Montagna W, Kligman AM, Carlisle KS
1993 Narisawa Y, Hashimoto K, Kobda H
1993 Ackerman AB, deViragh P, and Chongchitnant N
1993 Steffen C
1994 Steffen C, Ackerman AB
1995 Mehregan AH, Hashimoto K, Mehregan DA, Mehregan DR
1995 deViragh PA
1996 Ackerman AB (
Fig. 19
)
SEE ALSO
-
mantle
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1990 Leshin B, White WL
Folliculocentric basaloid proliferation. Arch Dermatol 1990;126:900966 (
Fig. 13
).
View Figure
Fig. 13 (orig. Fig. 3) A vertically oriented girondolelike arrangement of basaloid proliferation is displayed around a follicular axis. Inset, The lacelike basaloid proliferation, arising from the apparent external root sheath, has a hyaline basement membrane (frozen section, hematoxylin-eosin, 260; inset, 2300).
Message
Folliculocentric basaloid proliferation noted in persons undergoing Mohs micrographic surgery for basal-cell carcinoma represent complex growths of bulge epithelium. Folliculocentric basaloid proliferation is characterized histologically by a girondolelike arrangement of basaloid cells.
Critique
Folliculocentric basaloid proliferation as described by Leshin and White is a hyperplasia of mantle epithelium, not of bulge epithelium. The inset in one of the photomicrographs shows sebocytes within the lattice-like arrangement of immature epithelial cells, proof of the sebaceous nature of this hyperplastic mantle epithelium. Zimmermann had pictured the same phenomenon in 1935.
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