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Recurrent keratoacanthoma with vascular invasion: A diagnostic and management dilemma
Author(s) -
Kurien Anil,
Henderson Christopher,
Lee Simon
Publication year - 2009
Publication title -
australasian journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.67
H-Index - 53
eISSN - 1440-0960
pISSN - 0004-8380
DOI - 10.1111/j.1440-0960.2009.00537.x
Subject(s) - keratoacanthoma , medicine , acitretin , basal cell , nodule (geology) , histology , pathology , dermatology , surgery , paleontology , biology , psoriasis
A 71‐year‐old man with chronic renal failure and on peritoneal dialysis presented with recurrence of multiple keratotic nodules along a surgical scar. This was 6 months after the excision of a recurrent keratotic nodule reported as squamous cell carcinoma from the same site. The lesions were initially reported as squamous cell carcinomas, but on review of histology were consistent with keratoacanthomas. One of the keratoacanthomas showed vascular invasion. These responded well to low‐dose acitretin at 10 mg three times per week and the patient stayed in remission after 18 months of follow up.