Adnexal Non Melanocytic Neoplasms
Pathologymindmap.com
Adnexal Lesions
       
Chondroid Syringoma
                       Mostly face and neck
                       Looks like Mixed tumor of Salivary gland
       
Cylindroma
               Mostly on head and neck
               Apocrine origin
               AKA “turban-like” or “hat-like”
               Epithelial lobules fitting like “jigsaw puzzle”
               Basement membrane-like material within and around lobules
       
Nevus sebaceous of Jadassohn
               Childhood alopecia
               Abortive follicular structures
               Large Sebaceous units connected to epidermis
               Verrucous hyperplasia
       
Pilomatricoma
               AKA Calcifying Epithelioma of Malherbe
               Usullay on Head and Neck
               Well circumscribed
               Small basaloid cells w/ abrupt keratinization
               No granular layer
               “Ghost or Shadow cells” (Keratinized cells)
               Foreign body giant cell reaction & Calcification
               Extramedullary hematopoiesis in some
       
Spiradenoma
               Painful                        
               Other painful skin lesions
                       Erythema Nodosum
                       Glomus tumor
                       Cutaneous Leiomyoma
                       Angiolipoma
                       Verruca Plantaris        
               Very cellular
               2 cell types
                       Epithelial & Myoepithelial
               Rich lymphocytic infiltrate
               Prominent vessels (in some)        
               DDx: Vascular lesions, Thymoma or Metastasis
       
Syringoma
               Benign eccrine gland tumor
               Usually on the face (many on lower eyelids)
               Cluster of small ducts w/ Comma shaped projections
                       “Tadpole-like”
               Lined by 2 epithelial layers
       
Trichoepithelioma
               Hair follicle origin
               Mostly in children
               No clefts (Unlike BCC)
               papillary architecture (Unlike BCC)
               laminated keratin in small cysts (Unlike BCC)
               DDx: BCC