Document Detail

Foreign body giant cell reactions and ossification associated with benign melanocytic naevi.
MedLine Citation:
PMID:  8432894     Owner:  NLM     Status:  MEDLINE    
AIMS: To assess the incidence of foreign body giant cell reactions and ossification in benign/melanocytic naevi; and to examine their pathological features to gain an insight into their pathogenesis. METHODS: Intradermal (n = 185) and compound naevi (n = 110) from a routine histology service, together with 60 naevi submitted to an ophthalmic pathologist, were examined for foreign body reactions and ossification. Additional cases were identified prospectively in the course of routine reporting. The clinical and pathological features of positive cases were assessed. RESULTS: Foreign body reactions were identified in nine (4.9%) intradermal and four (3.6%) compound naevi, but in none of the naevi from around the eye. One intradermal naevus showed ossification. A further 11 naevi showing foreign body reaction and five showing ossification alone were identified prospectively. The 24 naevi showing a foreign body reaction had a similar age and sex distribution to controls but were more likely to occur on the head and neck. The reaction usually occurred deep to the naevus, sometimes in relation to a hair follicle, and fragments of hair or keratin were identified in most. Osteoid or bone was present within the reaction in five. In six other naevi, all from the head and neck of women, osteoid or mature bone was present deep to the naevus in the absence of a giant cell reaction. CONCLUSIONS: Foreign body giant cell reactions occur not uncommonly in relation to benign naevi, as a result of follicular damage, possibly due to trauma. The similar siting of foci of bone suggests that ossification occurs as a secondary phenomenon in these cases.
W F Knox; L J McWilliam; E W Benbow; R F McMahon; N Wilkinson; R Bonshek
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical pathology     Volume:  46     ISSN:  0021-9746     ISO Abbreviation:  J. Clin. Pathol.     Publication Date:  1993 Jan 
Date Detail:
Created Date:  1993-03-17     Completed Date:  1993-03-17     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0376601     Medline TA:  J Clin Pathol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  72-4     Citation Subset:  AIM; IM    
Department of Pathological Sciences, University of Manchester.
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MeSH Terms
Giant Cells, Foreign-Body / pathology*
Granuloma, Giant Cell / etiology,  pathology
Middle Aged
Nevus, Pigmented / complications*,  pathology*
Ossification, Heterotopic / etiology,  pathology*
Prospective Studies
Retrospective Studies
Skin / pathology*
Skin Diseases / etiology,  pathology

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