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Firm Linear Plaque on the Lip of a Child

Firm Linear Plaque on the Lip of a Child Abstract REPORT OF A CASE A 3-year-old girl was referred to the Dermatology Service at Children's Memorial Hospital, Chicago, because of an asymptomatic linear plaque on her lower lip that had been present since birth. The lesion had not changed significantly and was of no functional importance; however, it had become a cosmetic concern. The patient was otherwise in excellent health and developing normally.Physical examination revealed an irregular linear plaque consisting of smooth, pink, firm, confluent papules distributed along the lower lip and obscuring the vermilion border in some areas (Fig 1). Two tiny (<1-mm) symmetric papules were present on the upper lip. The tongue, gums, and mucous membranes were normal. There were no other cutaneous lesions.Excisional biopsy was performed in the Plastic Surgery Department. The histologic specimen showed hyperplasia of the epidermis, with irregularly arranged dermal nests of large polygonal cells containing small nuclei and coarsely granular eosinophilic References 1. Strong EW, McDivitt RW, Brasfield RD: Granular cell myoblastoma . Cancer 1970;25:415-422.Crossref 2. Abrikossoff A: Über Myome ausgehend von der quergestreifter willkurlichen Muskulatur . Virchows Arch Pathol Anat 1926;260:215-233.Crossref 3. Vance SF, Hudson RP: Granular cell myoblastoma: Clinicopathologic study of 42 patients . Am J Clin Pathol 1969;52:208-211. 4. Apisarnthanarax P: Granular cell tumor: An analysis of 16 cases and review of the literature . J Am Acad Dermatol 1981;5:171-182.Crossref 5. Lack EE, Worsham GF, Callihan MD, et al: Granular cell tumor: A clinicopathologic study of 110 patients . J Surg Oncol 1980;13:301-316.Crossref 6. White SW, Gallager RL, Rodman OG: Multiple granular-cell tumors . J Dermatol Surg Oncol 1980;6:57-61.Crossref 7. Garancis JC, Komorowski RA, Kuzma JF: Granular cell myoblastoma . Cancer 1970;25:542-550.Crossref 8. Sobel HJ, Marquet E, Avrin E, et al: Granular cell myoblastoma: An electron microscopic and cytochemical study illustrating the genesis of granules and aging of myoblastoma cells . Am J Pathol 1971;65:59-70. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Firm Linear Plaque on the Lip of a Child

Archives of Dermatology , Volume 121 (9) – Sep 1, 1985

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Publisher
American Medical Association
Copyright
Copyright © 1985 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1985.01660090115029
Publisher site
See Article on Publisher Site

Abstract

Abstract REPORT OF A CASE A 3-year-old girl was referred to the Dermatology Service at Children's Memorial Hospital, Chicago, because of an asymptomatic linear plaque on her lower lip that had been present since birth. The lesion had not changed significantly and was of no functional importance; however, it had become a cosmetic concern. The patient was otherwise in excellent health and developing normally.Physical examination revealed an irregular linear plaque consisting of smooth, pink, firm, confluent papules distributed along the lower lip and obscuring the vermilion border in some areas (Fig 1). Two tiny (<1-mm) symmetric papules were present on the upper lip. The tongue, gums, and mucous membranes were normal. There were no other cutaneous lesions.Excisional biopsy was performed in the Plastic Surgery Department. The histologic specimen showed hyperplasia of the epidermis, with irregularly arranged dermal nests of large polygonal cells containing small nuclei and coarsely granular eosinophilic References 1. Strong EW, McDivitt RW, Brasfield RD: Granular cell myoblastoma . Cancer 1970;25:415-422.Crossref 2. Abrikossoff A: Über Myome ausgehend von der quergestreifter willkurlichen Muskulatur . Virchows Arch Pathol Anat 1926;260:215-233.Crossref 3. Vance SF, Hudson RP: Granular cell myoblastoma: Clinicopathologic study of 42 patients . Am J Clin Pathol 1969;52:208-211. 4. Apisarnthanarax P: Granular cell tumor: An analysis of 16 cases and review of the literature . J Am Acad Dermatol 1981;5:171-182.Crossref 5. Lack EE, Worsham GF, Callihan MD, et al: Granular cell tumor: A clinicopathologic study of 110 patients . J Surg Oncol 1980;13:301-316.Crossref 6. White SW, Gallager RL, Rodman OG: Multiple granular-cell tumors . J Dermatol Surg Oncol 1980;6:57-61.Crossref 7. Garancis JC, Komorowski RA, Kuzma JF: Granular cell myoblastoma . Cancer 1970;25:542-550.Crossref 8. Sobel HJ, Marquet E, Avrin E, et al: Granular cell myoblastoma: An electron microscopic and cytochemical study illustrating the genesis of granules and aging of myoblastoma cells . Am J Pathol 1971;65:59-70.

Journal

Archives of DermatologyAmerican Medical Association

Published: Sep 1, 1985

References