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Date of last update: 10/21/2017.

Forum Name: Head and Neck Cancer

Question: Dermatopathic Lymphadenopathy

 TLK459 - Mon Mar 30, 2009 8:30 am


I am a 37 year old female. I have had an enlarged lymph node on the left side of my neck in the back right at the hairline. The Surgical Pathology Report read:

The lymph node sinuses are moderately expanded by a population of histiocytes containing abundant melanin pigment. There is no evidnece of lymphoma or other neoplastic process. Dermatopathic lymphadenopathy is often associated with nearby chronic skin conditions such as dermatitis and psoriasis. Clinical correlation may be helpful.

Gross Description:

Sumbitted is an oval shaped portion of golden yellow fibrofatty tissue which measures 1.8 x 1.6 x 0.8 cm. Sectioning reveals a 0.5 x 0.5 x 0.4 cm apparent pink-tan lymph node surrounded in part by lobules of golden yellow adipose tissue. Additional discrete lesions or areas of nodularity are not identified. Rep. sections including the entire lymph node are submitted.

There is an enlarged supraclavicular lymph node but the surgeon did not remove that one, he said we would wait to see what the one on my neck showed. I have not had any skin conditions that were suggested above so I wondered what all this means and if I will now have to have the other lymph node removed.

Thank you,

 Dr.M.jagesh kamath - Fri Sep 04, 2009 12:19 pm

User avatar Hello,The node that was biopsied could be a resultant of a lingering pediculosis capitis ie headlice.Many a times the lice induce a reactive lymphadenopathy.

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