A solitary cutaneous tumor with distinct areas of verruca and seborrheic keratosis-like lesion

Pathol Oncol Res. 1999;5(4):320-3. doi: 10.1053/paor.1999.0195.

Abstract

A single, exophytic, cutaneous tumor on the thigh of a 52-year-old man was examined by light microscopy, in situ hybridization and immunohistochemistry. It demonstrated distinct areas of verruca and of seborrheic keratosis-like morphology simultaneously. Focally, architectural abnormalities were noted in some deeper parts of the tumor, but there was no morphological evidence of malignancy. The patient has remained disease-free for two and a half years after surgery. Biotinylated full genomicDNA probes of HPV confirmed the presence of types 6/11 exclusively in the verrucous portion of the neoplasm. In the verrucous component p53 protein was overexpressed and, additionally, increased Ki-67 immunopositive signals were detected, being localized below the HPV-DNA-expressing spinous cells.

Publication types

  • Case Reports

MeSH terms

  • DNA, Viral / analysis
  • Humans
  • Immunohistochemistry
  • In Situ Hybridization
  • Keratinocytes / pathology
  • Keratinocytes / virology
  • Keratosis, Seborrheic / complications
  • Keratosis, Seborrheic / pathology*
  • Keratosis, Seborrheic / virology
  • Ki-67 Antigen / analysis
  • Male
  • Middle Aged
  • Papillomaviridae / isolation & purification
  • Skin Diseases / complications
  • Skin Diseases / pathology*
  • Skin Diseases / virology
  • Skin Neoplasms / complications
  • Skin Neoplasms / pathology*
  • Skin Neoplasms / surgery
  • Skin Neoplasms / virology
  • Treatment Outcome
  • Tumor Suppressor Protein p53 / analysis
  • Warts / complications
  • Warts / pathology*
  • Warts / virology

Substances

  • DNA, Viral
  • Ki-67 Antigen
  • Tumor Suppressor Protein p53