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Correspondence |

Pigmented Basal Cell Carcinomas 15 Years After Orbital Radiation Therapy for Graves Ophthalmopathy

Holger A. Haenssle, MD; Arne Richter, MD; Timo Buhl, MD; Ellen Haas, MD; Ricarda Holzkamp, MD; Steffen Emmert, MD; Michael P. Schön, MD
Arch Dermatol. 2011;147(4):511-512. doi:10.1001/archdermatol.2011.74.
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Menzies  SWWesterhoff  KRabinovitz  HKopf  AW McCarthy  WHKatz  B Surface microscopy of pigmented basal cell carcinoma. Arch Dermatol 2000;136 (8) 1012- 101610926737
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Link to Article[[XSLOpenURL/10.2307/3578117]]
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Link to Article[[XSLOpenURL/10.1210/jc.2009-0376]]
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Link to Article[[XSLOpenURL/10.1136/jmg.30.6.460]]
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Figure 1.

Pigmented bilateral basal cell carcinoma (BCC) of the temple. A and B, Right (A) and left (B) hair-covered temples after shaving. C and D, Asymmetric gray-brown tumor with a few scales (C) and asymmetric trabecular tumor of gray-brown color and central ulceration (D) (white frames indicate field of view for dermoscopy, and scale bars indicate centimeters). E and F, Dermoscopy of the right (E) and left (F) temple BCCs reveal spoke wheel areas (boxes 1), blue-gray ovoid nests (boxes 2), arborizing vessels (box 3), and central ulceration (box 4) (original magnifications ×50 [E] and ×20 [F]).

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Figure 2.

Histopathologic analysis of the excised tumors. Nests of basaloid cells with palisading nuclei are seen in the periphery surrounded by fibromyxoid stroma and lymphocytic infiltrates. Prominent pigment particles account for the macroscopically evident hyperpigmentation of the tumors (hematoxylin-eosin, original magnification ×40).

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