Paraganglioma-like dermal melanocytic tumor is a rare subtype of benign dermal melanocytic tumors. Its histopathologic features resemble those of paraganglioma, but the immunostaining characteristics are those of melanocytic lesions.We report a case of a 60-year-old male with a paraganglioma-like dermal melanocytic tumor of his left cheek and briefly review the English literature.
Case presentationA 60-year-old male presented with a skin-colored slightly raised soft 0.8 cm papule on his left cheek present for an unknown period of time. The clinical impression was a "skin tag". The patient's past medical history was unremarkable. An excisional biopsy of the lesion showed a well demarcated cellular nodule in the dermis ( Fig. 1) with normal overlying epidermis. The neoplasm was composed of organoid and nested groups of large epithelioid cells separated by delicate fibrous strands and prominent blood vessels. The epithelioid cells had distinct large nuclei with prominent red nucleoli and somewhat clear cytoplasm (Fig. 2). Some of the large epitheliod cells had multiple nuclei and vacuoles. There was no cytoplasmic melanin pigment or eosinophilic granule. Neither mitotic activity nor necrosis was seen. There was one area of the tumor showing nests of mature nevus cells.