Zur Frage der Existenz des Granuloma pyogenicum teleangiectaticum unter besonderer Ber�cksichtigung seiner Beziehungen zum H�mangiom und H�mangio-Endotheliom

Knoth, W; Ehlers, G

doi:10.1007/bf00482543

Cited by 11 publications

(1 citation statement)

References 19 publications

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“…The clinical diagnosis of either aMM or GP often fails also when done by experienced dermatologists [ 10,[12][13][14], GP is usually ranking with cases of misdiagnosed MM [9,[12][13][14], Since the gross appearance of GP or aMM is very rarely bearing clear-cut diagnostic discriminators, sonic anamnestic data are regarded as helpful for differ ential diagnosis [2. 10, 11|.…”

Section: Discussionmentioning

confidence: 99%

Clinically Relevant Differences between Amelanotic Malignant Melanoma and Granuloma pyogenicum

Bassukas¹,

Kühnert²,

Diepgen³

et al. 1991

Dermatology

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Macroscopic discrimination between amelanotic malignant melanoma (aMM) and the so-called granuloma pyogenicum (GP) is often uncertain since reliable criteria for a clear differentiation of either growth are lacking. In a search of such criteria we analysed the data of 57 consecutive in-patients with cutaneous aMM and of 83 with GP presenting at our Department during the years 1970–1988. The following items were compared with each other: duration from growth onset to definite diagnosis, siteof growth, age and sex of the patients. Significant differences (p < 0.01) between either growth were found for all items evaluated. Our results substantiate the hitherto gained impression of a remarkably shorter median history of GP as compared to aMM (5 vs. 26 weeks). Furthermore aMM prevailed in elder (age > 50 years) particularly female (70%) patients, whereas GP developed about equally in both sexes and at all ages. Site distribution was also found to differ for either growth (GP predominantly in the head and neck region, rarely on lower limbs; aMM in all areas, rarely on the trunk). These data yield additional measures for clinical distinction between aMM and GP.

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