Rhinophyma With Carcinomatous Degeneration

Novy, Frederick G.

doi:10.1001/archderm.1930.01440140072007

Cited by 12 publications

(3 citation statements)

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“…This explains the high number of incidental diagnoses of tumors associated with rhinophymatous tissue reported in the literature. Interestingly, in only three cases, including our series, was the medical history of the patient positive for previous facial skin tumors [9,13], although these data were not always available.…”

Section: Resultsmentioning

confidence: 88%

“…In 19 cases information about sex was not available [8-14, 20, 25]. Interestingly, there was little prevalence of rhinophyma-associated malignancies that were diagnosed during preoperative clinical examination (n = 22) [12,14,16,19,21,23,25,26,28,29,31] over those detected incidentally during histological evaluation (n = 19) [11-15, 17, 18, 21, 22, 24, 27, 28, 30, 32, 33]; in five cases information was not available from the article [8][9][10][11]20].…”

Section: Resultsmentioning

confidence: 99%

“…They described a case of a patient with rhinophyma in whom histologic examination revealed five different tumors. Three decades later Novy [9] published a case of SCC arising in the context of rhinophyma, and Eisenklam [10] reported a malignant degeneration of rhinophymatous tissue without any other information. Rees [11], in his series of seven resected tumors among ten cases of managed rhinophymas, observed two cases of BCC.…”

Section: Discussionmentioning

confidence: 99%

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Malignancies Within Rhinophyma: Report of Three New Cases and Review of the Literature

et al. 2011

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These three new cases and the review of 43 cases reported in the literature call attention to the clinical features of carcinomas arising in the context of rhinophyma, raising further concerns about the possible association between these two entities. The need for histologic examination of all surgically removed tissue in patients with rhinophyma is highlighted. Several macroscopic changes, including ulceration, drainage, and a rapid growth pattern, should alarm the physician and should be considered as suspicious of a malignant degeneration. Unexpected clinical modifications of a preexisting long-lasting silent rhinophyma could indicate the possibility of hidden malignancy rather than a rhinophyma itself. Although evidence of an association between the two entities remains inconclusive, half of the malignancies reported in our review were incidental findings associated with rhinophyma. Thus, since rhinophyma should not be considered solely a cosmetic problem, we recommend that all specimens be reviewed by a pathologist and if malignancy is diagnosed, re-excision with clear margins should be achieved when necessary with periodic follow-up.

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Section: Resultsmentioning

confidence: 88%