Solitary Nasal Ala Nodule in a Young Woman—Quiz Case

Atypical Cellular Neurothekeoma Treated with Mohs Micrographic Surgery

“…CNTK is distinguished from melanoma by having no epidermal component and negative staining for all melanocytic markers (S100, HMB45, Mart1, and tyrosinase). Livasy and Woosley 21 reported a similar case of CNTK on the nasal ala of a young woman. Their case showed a combined spindled and epithelioid neoplasm with bizarre cytologic atypia, eosinophilic cytoplasm, and rare mitoses.…”

Mohs Micrographic Surgery for the Treatment of Cellular Neurothekeoma and Review of Its Use in Surgical Management of Benign Tumors

“…The most common sites of involvement on the head were the nose and scalp 1 . Recent reports have documented CNT of the nasal ala, 4–6 nasal tip, 7 lower lip, 8 left cheek, 9 occiput, 10 and forearm 11 …”

Cellular Neurothekeoma Treated with Mohs Micrographic Surgery

“…Clinically, CNT is more common in young women and shows a predilection for the face, head, and neck 6 . Recent reports have included sites such as the left cheek, 20 chest wall, 21 arm, 22 nasal ala, 23 lower lip, 24 subcutis of the occiput, 25 and forearm 26 . Atypical and aggressive features have been described, including large size (up to 6 cm), deep penetration into subcutaneous fat or muscle, diffusely infiltrative borders, vascular invasion, high mitotic rate, and cytologic pleomorphism 1,26 .…”