Other Questions on Basaloid Follicular Hamartoma

In the document from February 1994, there is a discussion regarding the difficulty in distinguishing between basaloid follicular hamartoma and infundibulocytic basal cell carcinoma based on histology alone. Drs. White and Abernethy question the authors of a previous report on basaloid follicular hamartoma about the problematic differential diagnosis between the two conditions, as they can appear virtually identical under microscopic examination. In response, Dr. Bruce R. Nelson acknowledges the controversy and emphasizes that basaloid follicular hamartoma is a histologic pattern that can be found in a range of clinical lesions. He argues that histology is not always definitive and that clinical behavior and presentation of the tumor must be considered when making a diagnosis. Nelson suggests that with careful documentation and reporting, a better understanding of basaloid follicular hamartoma and other follicular tumors may be achieved over time. He concludes that basaloid follicular hamartomatous changes represent a histologic pattern present in many clinically diverse lesions.