Tattoo-related squamous proliferations: a spectrum of reactive hyperplasia

Swigost, Adam J.; Peltola, Justin; Jacobson‐Dunlop, Erick; Goldfarb, Noah

doi:10.1111/ced.13559

Cited by 6 publications

(9 citation statements)

References 12 publications

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“…However, such information was overlooked in most of the reports. Two patients (<5%) developed KAs after laser removal sessions [8, 9], and 2 others had KAs after a tattoo was touched-up [7, 10].…”

Section: Resultsmentioning

confidence: 99%

Keratoacanthomas and Squamous Cell Carcinomas on Tattoos: A Review of 42 Cases

Kluger¹,

Cribier²

2020

Dermatology

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Section: Resultsmentioning

confidence: 99%

Keratoacanthomas and Squamous Cell Carcinomas on Tattoos: A Review of 42 Cases

Kluger¹,

Cribier²

2020

Dermatology

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“…23 Por último, pueden desarrollarse otras lesiones "benignas" de tipo escamoso, como la hiperplasia pseudoepiteliomatosa. 11,19,24,25 de ambos componentes, con contrastes bien delimitados entre ellos (ó de células anaplásicas de varios formas y tamaños). 26 Con base en lo anterior, se puede inferir que el KA es, en esencia, un CEC de bajo grado que muestran un comportamiento biológico maligno.…”

Section: Discussionunclassified

Lesión dermatológica en zona de tatuaje

Araya

Salazar

2022

AMC

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Los tatuajes representan una situación in vivo única en la que una gran cantidad de sales metálicas y tintes orgánicos permanecen en la piel durante toda la vida. Como resultado de un mayor número de tatuajes realizados, la incidencia de complicaciones cutáneas asociadas a los tatuajes ha aumentado también. En los últimos 30 años se ha evidenciado un aumento de reportes de tumores cutáneos en los tatuajes; sin embargo, muchos autores siguen considerándolo un evento fortuito. Los posibles efectos cancerígenos locales de los tatuajes siguen sin estar claros. Se cree que este efecto podría ser multifactorial y que combina traumatismo de la aguja, inflamación local crónica, factores externos como la exposición a los rayos ultravioleta (UV) y un posible efecto pro-cancerígeno de las tintas. Se necesitan estudios epidemiológicos y clínicos a gran escala para demostrar esta asociación. Se presenta un caso de un hombre de 40 años, conocido sano, quien 2 meses después de tatuarse el hombro derecho, desarrolla una lesión con características clínicas de un queratoacantoma y a quien se le realiza el diagnostico histológico de un carcinoma espinocelular bien diferenciado e invasor.

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“…Our cases also demonstrated that sometimes, they can show a keratoacanthoma-like structure, which should not be confused with keratoacanthoma-like SCC. 13,32 Nonetheless, histologic distinction is challenging, and careful follow-up of the patient is recommended.…”

Section: Discussionmentioning

confidence: 99%

Histopathologic Spectrum of Findings Associated With Tattoos: Multicenter Study Series of 230 Cases

Maya

Kempf²,

Muñoz

et al. 2021

The American Journal of Dermatopathology

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Importance: Reactions to tattoo may simulate common dermatosis or skin neoplasms. Histopathology allows diagnosis and helps determining the level and degree of inflammation associated, consequently orientating treatment.Objective: To describe the histological features found in biopsies of cutaneous reactions to tattoo.Design: This study was designed as a multicenter case series.Setting: All consecutive histopathological samples of tattoos referred from 1992 to 2019 to the Hospital General de Catalunya, Hospital Germans Trias i Pujol, and a private practice, all in Barcelona, Spain, and from the Kempf und Pfaltz Histologische Diagnostik in Zurich, Switzerland were retrieved from the files.Participants and Exposure: The inclusion criteria were all cosmetic/permanent makeup, artistic/professional, and traumatic tattoos associated with either inflammatory reactions alone and/or with tumors and/or infections. Exclusion criteria were cases without any associated pathologic finding in the place of the ink, amalgam tattoos, and medical or temporary tattoos. Main Outcomes and Measures:In all patients, clinical features (age, sex, location, tattoo color, and presentation) were recorded. Histological features evaluated included ink color, associated tumors or infections, and inflammatory reaction pattern. Inflammation was graded in low to moderate or severe.Results: From 477 biopsies diagnosed as tattoos, 230 cases from 226 patients met the inclusion criteria. Samples corresponded to 107 male and 120 female subjects and 3 of unknown gender. Median age was 39 years (ranging from 9 to 84 years). Fifty-three samples were referred from centers in Spain and 177 from the center in Switzerland. The series was analyzed in 2 parts: tattoos associated only with inflammatory reactions (117/230) and tattoos associated with tumors or infections (113/230). The most common form of inflammatory pattern associated with tattoo was the fibrosing reaction (79/117, 68%), followed by granulomatous reaction (56/117, 48%), lichenoid reaction (33/117, 28%), epithelial hyperplasia (28/117, 24%), pseudolymphoma (27/ 117, 23%) and spongiotic reaction (27/117, 23%). Combined features of 2 or more types of inflammatory patterns were seen in 64% cases.Conclusions and Relevance: Our series confirms that cutaneous reactions to tattoos are polymorphous. Inflammation tends to present with combined patterns. Infections are tending to decline, and pathologic findings are not specific to ink color or clinical features.

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Tattoo-related squamous proliferations: a spectrum of reactive hyperplasia

Cited by 6 publications

References 12 publications

Keratoacanthomas and Squamous Cell Carcinomas on Tattoos: A Review of 42 Cases

Keratoacanthomas and Squamous Cell Carcinomas on Tattoos: A Review of 42 Cases

Lesión dermatológica en zona de tatuaje

Histopathologic Spectrum of Findings Associated With Tattoos: Multicenter Study Series of 230 Cases

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