Publications by authors named "Mac Machan"

Background: There is a need to improve prognostic accuracy for patients with cutaneous melanoma. A 31-gene expression profile (31-GEP) test uses the molecular biology of primary tumors to identify individual patient metastatic risk.

Objective: Develop a nomogram incorporating 31-GEP with relevant clinical factors to improve prognostic accuracy.

View Article and Find Full Text PDF
Article Synopsis
  • * This tissue can lead to various issues, including benign tumors like fibroadenomas or even cancers, making diagnosis complicated.
  • * The report focuses on a unique case of fibroadenomas found around the belly button in a 25-year-old woman, highlighting the importance of understanding both clinical and microscopic findings for accurate diagnosis.
View Article and Find Full Text PDF

Background: There have been few published case series of penile squamous cell carcinoma (SCC) removed with Mohs micrographic surgery (MMS). Of these case series, the published cure rates are between 68% and 74%.

Objective: To report 30 years of experience removing penile SCCs with MMS.

View Article and Find Full Text PDF

Background: On-site pathology services are an integral part of many dermatology and surgical dermatology practices in the United States.

Objective: Assess the effectiveness and advantages of on-site pathology services.

Methods: Biopsy data from 7 practices with on-site pathology services were reviewed to determine the diagnostic accuracy of malignancies from all lesional biopsies.

View Article and Find Full Text PDF

Basal cell carcinoma (BCC) is the most common malignancy in humans. We present a man with a recurrent BCC of the scalp that presented as an intracranial tumor 18 years after original excision.

View Article and Find Full Text PDF

Clinical information is often critical to the histopathologic interpretation of cutaneous biopsies for inflammatory skin diseases. This information is often conveyed to the dermatopathologist as list of possible diagnoses. We reviewed 348 cases of biopsied inflammatory skin disease and measured the correlation between the original clinical differential diagnoses on the pathology requisition and the patient's final diagnosis.

View Article and Find Full Text PDF

: Necrotizing infundibular crystalline folliculitis (NICF) is a rare entity manifesting as waxy folliculocentric papules comprised of filamentous birefringent crystalline deposits. We report a case of NICF in an 85-year-old man, presenting as gritty, cream-colored, and erythematous papules across the midline back. Biopsy demonstrated a pale plug comprised of copious mucin.

View Article and Find Full Text PDF

Non-melanoma skin cancer (NMSC) is the most common cancer in humans. Basal cell carcinoma accounts for 75 percent to 80 percent of NMSC. We report a primary cutaneous BCC on the upper chest in which vascular invasion was demonstrated by histopathology and the unique application of dual immunohistochemistry.

View Article and Find Full Text PDF

True cutaneous chondromas are extremely rare. Previously they have reportedly been confused with soft tissue chondromas and cartilaginous developmental anomalies. Monophasic mixed tumor could potentially also be mistakenly diagnosed as a true cutaneous chondroma.

View Article and Find Full Text PDF

We describe a case of pityriasis rubra pilaris refractory to conventional treatment, found to be associated with an unrecognized primary adenocarcinoma of the lung. Complete resolution of the eruption followed surgical resection of the tumor.

View Article and Find Full Text PDF