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Pathology Quiz Case 1: Diagnosis
Arch Otolaryngol Head Neck Surg. 2005;131:644.
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Diagnosis: Chondroid syringoma
Originally described as a mixed tumor of the skin by Billroth1 in 1859, this uncommon benign neoplasm was called chondroid syringoma by Hirsch and Helwig2 in 1961 to more accurately describe the lesions cellular characteristics. Hirsch and Helwig proposed the following defining histologic characteristics of the lesion: (1) nests of cuboidal or polygonal cells; (2) tubuloalveolar structures lined by 2 or more rows of cuboidal cells; (3) ductal structures composed of 1 or 2 rows of cuboidal cells; and (4) occasional keratin cysts. The tumor is thought to arise from apocrine and/or eccrine glands.3 Histologic analysis of a chondroid syringoma demonstrates nests or cords of epithelial cells set in a stromal matrix. The epithelial cells are usually cuboidal, but they can have a variable cytologic appearance (eg, eccrine, apocrine, sebaceous, mucinous, simple glandular, or squamous). They can be oriented in sheets and whorls, with glandular and ductal . . . [Full Text of this Article]
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