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Ectopic Meningothelial Hamartoma of the Scalp
Author(s) -
Osunkoya A.O.,
Foster T.,
Pitha J
Publication year - 2005
Publication title -
journal of cutaneous pathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 75
eISSN - 1600-0560
pISSN - 0303-6987
DOI - 10.1111/j.0303-6987.2005.320fe.x
Subject(s) - pathology , lesion , dermis , anatomy , cuboidal cell , scalp , vimentin , immunohistochemistry , biology , hamartoma , epidermis (zoology) , connective tissue , medicine
A 7‐month‐old male infant presented with a 2 month history of a solitary, well circumscribed, 1.2 cm right parietal scalp lesion. An MRI excluded intracranial extension of the lesion. Grossly the excised lesion was tan‐grey, soft to rubbery with focal areas of hemorrhage. On histology, the lesion demonstrated elongated strands of haphazardly arranged fibrous tissue and meningothelial elements with clusters of plump, cuboidal epitheloid cells extending along connective tissue planes in the dermis and subcutaneous tissue. The meningothelial elements were intimately admixed with mature adipose tissue and proliferation of small to medium sized vessels. The overlying epidermis was unremarkable. No mitotic figures or areas of necrosis were identified. The meningothelial cells were positive for Vimentin and Epithelial Membrane Antigen. S‐100 protein was negative and CD‐34 was positive only in the endothelial cells. The gross, histologic and immunohistochemical features are consistent with ectopic meningothelial hamartoma of the scalp. The meningothelial elements characteristic of this entity are believed to arise from displaced, ectopic meningothelial rests in the scalp and are thus regarded as simply representing a proliferation of the hamartomatous process.