Physician, Entrepreneur, Teacher, Researcher, Consultant

Dr. Dan Miulli

(Continued from page 57)


7. Okada N, Ota J, Sato K, Kitano Y.  Metastasizing Eccrine Sweat Gland Carcinoma.  Archives of Dermatology 1984;120:768-769.

8. Cottel WI.  Eccrine Epithelioma:  Case Report.  Journal of Dermatologic Surgery and Oncology 1982;8:610-611.

9. Nakamura S, Imai T, Nakayama K, Goto M, Nishihara K, Hoshi K.  Malignant Eccrine Tumor A Case Report and a Classification of Tumors of Eccrine Sweat Apparatus.  Journal of Dermatology 1990;17:500-505.

FIGURE 1:

This mass was 17 cm by 12 cm and weighed 1227 grams.  It was attached to the occipital scalp by a highly vascular stalk.  It contained a flat yellow granular surface with scattered areas of hemorrhagic necrosis on multiple cut sections.  It was independently supported prior to removal.

FIGURE 2:
A CT scan was performed and revealed a solid, homogeneous enhancing mass, with calcifications and no further extension either intra or extracranial.

FIGURE 3:
Histology section, H & E stain, magnification 100x and 400x.  The specimen exhibited irregular islands of tumor cells with cystic spaces among a dense fibrous stroma of basaloid cells.  In some areas the solid cords extended from the cystic spaces, giving the appearance of tadpoles.  The chords were one or more cells thick and composed of small uniformed, hyperchromatic nuclei with an eosinophilic and very infrequent vacuolated cytoplasm.  There were areas of mitosis and nuclear and cytoplasmic pleomorphism.  There was no keratinization however, perineural invasion was present.  The tumor infiltrated the dermis and subcutaneous tissue.

GRAVITY AND TIME
Dan E Miulli 1985 ORIGINAL WORK

I have always had a fascination with the unknown.  I was born in 1960, the end of the baby boom.  My parents although not "Hippies" were open minded about life.  My mom fostered my curiosity.  I never heard, "Curiosity killed the cat", except from my grandmother, but then I would respond, "Satisfaction brought him back", something I think I learned from my mother.  I did not have a hero as a child, however there were "people" who influenced the

(Continued on page 59)

Dr. Miulli Home Page

Selected Works Page

CORAL CHIP ALLOGRAFT FUSION FOR ACD

COMPUTERIZATION IN MEDICINE

BLOOD BRAIN BARRIER

ECCRINE EPITHELIOMA

TIME & GRAVITY

ELDERLY LUMBAR SURGERY

DISK CHANGES WITH AGING

INDICATIONS FOR FUSION

NEUROSCIENCE CENTER

CRYOSURGERY

GBM MOLECULAR TARGETS

VASOSPASMS

ELECTROPHYSIOLOGICAL MONITORING IN SURGERY

SPECTROSCOPY OF TUMORS

GLUTAMATE IN ALZHEIMER'S

Dr. Dan Miulli | Family | Education | Work Experience | Teaching & Research | Continuing Education | Selected Papers

To contact us:

comments@drdanmiulli.com

comments@drdanmiulli.com