Research Topics
Genomes and GenesSpecies | A Fernandez-FloresSummaryAffiliation: Hospital Universitario Country: Spain Publications
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Publications
Involvement of the liver by multiple myeloma as nodular lesions: a case diagnosed by fine-needle aspiration and immunocytochemistryA Fernandez-Flores
Service of Anatomic Pathology, Clinica Ponferrada, Ponferrada Leon, Spain
Diagn Cytopathol 29:280-2. 2003..Fine-needle aspiration of one of the hepatic lesions showed a pleomorphic plasmacytoid tumor. Immunocytochemistry using p63 and kappa-chain antibodies was useful in determining the plasmacytic nature of the cells...
Atypical fibroxanthoma with dermal amyloid depositAngel Fernandez-Flores
Department of Pathology Hospital El Bierzo Medicos sin Fronteras 7, 24411 Ponferrada, Spain
Acta Dermatovenerol Alp Panonica Adriat 21:23-5. 2012..It did not stain with anti-amyloid A, or with antibodies against either kappa light or lambda light chains. Therefore the amyloid deposit was keratinic in nature...
Areolar sebaceous hyperplasia with underlying primary duct carcinoma of the breast in a woman with Donohue syndrome (leprechaunism)Angel Fernandez-Flores
Department of Anatomic Pathology, Hospital El Bierzo, Ponferrada, Spain
Am J Dermatopathol 34:e15-8. 2012..We have found no other reported case of areolar sebaceous hyperplasia either in cases of breast carcinoma or in cases of leprechaunism...
The differential diagnosis between primary cutaneous large B-cell lymphoma and cutaneous follicular lymphoma: prognostic and therapeutic implicationsAngel Fernandez-Flores
Department of Cellular Pathology, Clinica Ponferrada, Ponferrada, Spain
Am J Dermatopathol 33:819-26. 2011..It also presents an additional case emphasizing the current approach to the differential diagnosis...
Cannibalism in a benign soft tissue tumor (giant-cell tumor of the tendon sheath, localized type): a study of 66 casesA Fernandez-Flores
Department of Pathology, Hospital El Bierzo, Ponferrada, Spain
Rom J Morphol Embryol 53:15-22. 2012..The internalized cells frequently appeared apoptotic. Immunohistochemical analysis revealed that the internalized cells as well as the cannibal cells expressed CD68...
An ulcerated lesion due to HSV-2 infection with a CD56+ cell predominant inflammatory infiltrateAngel Fernandez-Flores
Department of Anatomic Pathology, PathCell Clinica Ponferrada, Spain
Acta Dermatovenerol Alp Panonica Adriat 20:201-5. 2011..CD56+ cells represented 80 to 90% of the infiltrate, showing atypical morphologic features, and clusters of CD56 positive cells were also observed...
Cutaneous amyloidosis: a concept reviewAngel Fernandez-Flores
Department of Pathology, Hospital El Bierzo, Ponferrada, Spain
Am J Dermatopathol 34:1-14; quiz 15-7. 2012..We present a review, from Virchow to present, of the concepts related to amyloidosis: its nature, the classification of cutaneous forms of the disease, and the techniques used in its diagnosis...
Cutaneous metastases: a study of 78 biopsies from 69 patientsAngel Fernandez-Flores
Service of Anatomic Pathology, Hospital El Bierzo, Ponferrada, Spain
Am J Dermatopathol 32:222-39. 2010..41%). We concluded that vascular invasion is a common feature in cutaneous metastases, especially in nonhematologic neoplasms, and because sometimes is focal, it should be carefully searched...
Mucin is not a rare finding in rosaceaA Fernandez-Flores
Service of Cellular Pathology, Clinica Ponferrada, Ponferrada, Spain
Rom J Morphol Embryol 51:69-72. 2010....
Mammaglobin immunostaining in the differential diagnosis between cutaneous apocrine carcinoma and cutaneous metastasis from breast carcinomaA Fernandez-Flores
Service of Cellular Pathology, Clinica Ponferrada, Spain
Cesk Patol 45:108-12. 2009....
Dilated lymphatics in Gottron's papulesAngel Fernandez-Flores
Service of Cellular Pathology, Clinica Ponferrada, Avenida Galicia 1, Ponferrada, Spain
Acta Dermatovenerol Croat 18:99-103. 2010..Although most of the vessels were identified as blood vessels (venules and capillaries), some were demonstrated to be dilated lymphatic vessels...
Irritated seborrheic keratosis with coarse keratohyalin granulesA Fernandez-Flores
Service of Anatomic Pathology, Hospital El Bierzo, Spain
Rom J Morphol Embryol 50:583-7. 2009..We decided to investigate the presence of coarse keratohyalin granules in cases of irritated SK...
Birefringent particles in granulomatous dermatitis, sarcoidal-type, as well as in other non-granulomatous skin disorders in patients without sarcoidosisA Fernandez-Flores
Service of Anatomic Pathology, Hospital El Bierzo, Service of Cellular Pathology, Clinica Ponferrada, Ponferrada, Spain
Bratisl Lek Listy 110:328-31. 2009..Therefore, evidence of those particles does not exclude sarcoidosis (Tab. 1, Fig. 4, Ref. 23)...
Ingrown toenail: histopathologic and immunohistochemical studyAngel Fernandez-Flores
Service of Anatomic Pathology, Hospital El Bierzo, Ponferrada, Spain
Am J Dermatopathol 31:439-45. 2009....
Positive staining with Congo red in tissues with heat artifact due to cauteryA Fernandez-Flores
Service of Anatomic Pathology, Hospital El Bierzo, Spain
Rom J Morphol Embryol 50:203-6. 2009..It also showed apple-green birefringence when observed under polarized light. Nevertheless, it failed to express any of the markers investigated in the immunohistochemical study...
Advanced differentiation in trichoepithelioma and basal cell carcinoma investigated by immunohistochemistry against neurofilamentsAngel Fernandez-Flores
Service of Anatomic Pathology, Hospital El Bierzo and the Service of Cellular Pathology, Clinica Ponferrada, Ponferrada, Spain
Folia Histochem Cytobiol 47:61-4. 2009..The ability of BCC to infiltrate would have more to do with the acquisition by the tumour of such a property, rather than with a stage of indifferentiation...
Morphological evidence of periodical exacerbation of hyperkeratosis lenticularis perstansAngel Fernandez-Flores
Department of Anatomic Pathology, Hospital El Bierzo, Spain
Acta Dermatovenerol Croat 17:16-9. 2009..Both findings strongly support the hypothesis that the inflammatory infiltrate might play a primary role, and that the hyperkeratosis might be a secondary event...
Solitary angiokeratoma of the tonsillar pillar of the oral cavityA Fernandez-Flores
Service of Anatomic Pathology, Hospital El Bierzo, Spain
Rom J Morphol Embryol 50:115-7. 2009..The lesion was surgically removed and due to the disproportionate post-surgery bleeding, the patient was studied by the Hematology Service, and she was diagnosed as an inhibitor of Factor VIII carrier...
Abundance of plasma cells in a case of lipodermatosclerosisAngel Fernandez-Flores
Service of Anatomic Pathology, Clinica Ponferrada, Avenida Galicia 1, 24400 Ponferrada, Spain
Acta Dermatovenerol Croat 18:27-31. 2010..They were highlighted on immunohistochemical study with CD79a, CD138 and EMA, and showed polyclonal immunoexpression of kappa and lambda immunoglobulin light chains...
Solitary oral fibromas of the tongue show similar morphologic features to fibrous papule of the face: a study of 31 casesAngel Fernandez-Flores
Service of Cellular Pathology, Clinica Ponferrada, Avenida Galicia 1, Ponferrada, Spain
Am J Dermatopathol 32:442-7. 2010..This would be similar to the morphologic relation, already described, between fibrous papules of the face and oral fibromas of phakomatoses...
Granulomatous response due to anabolic steroid injectionsAngel Fernandez-Flores
Service of Cellular Pathology, Clinica Ponferrada, Spain
Acta Dermatovenerol Croat 19:103-6. 2011..Foreign bodies typical of steroids were found, together with areas of calcification and ossification with lamellar bone. Multivacuolated macrophages were found in the fibrous tissue close to these areas of calcification and ossification...
Study of morphological changes in the skin of the neck in suicidal cases by hangingAngel Fernandez-Flores
Service of Cellular Pathology, Clinica Ponferrada, Ponferrada, Spain
Soud Lek 56:24-6. 2011..the morphologic changes in specimens from people who have committed suicide by hanging have mainly centered on macroscopic findings. Pour purpose is to inestigate the microscopis changes in the ligature marks...
Calcinosis cutis: critical reviewAngel Fernandez-Flores
Service of Cellular Pathology, Clinica Ponferrada, Ponferrada, Spain
Acta Dermatovenerol Croat 19:43-50. 2011..Taking these into account, we introduce a possible morphological classification of calcinosis cutis, based on the pattern of the cutaneous deposits...
Evidence on the neural crest origin of PEComasA Fernandez-Flores
Department of Anatomic Pathology, Hospital El Bierzo Department of Cellular Pathology PathCell, Clinica Ponferrada, Ponferrada, Spain
Rom J Morphol Embryol 52:7-13. 2011..In the current report, we review many morphologic, clinical, ultrastructural, molecular and genetic aspects that support the hypothesis of an origin of PEComas from the neural crest...
A literary portrait of a case of Hodgkin lymphoma by Wilkie Collins?Angel Fernandez-Flores
Service of Anatomic Pathology, Hospital El Bierzo, Ponferrada, Spain
J Clin Pathol 64:171-3. 2011..Even with the few clinical details provided by the literary description, the current report examines the possibility of Hodgkin lymphoma as a diagnosis, concluding that the option is not an unwise one...
Comparative study of Congo red fluorescence and immunohistochemistry in cutaneous amyloidosisA Fernandez-Flores
Service of Cellular Pathology, Clinica Ponferrada, Spain
Rom J Morphol Embryol 51:683-6. 2010..We intend to examine cases of amyloidosis stained with Congo red with ultraviolet light and to see if such method offers advantages with respect to Congo red only and to immunohistochemistry...
Immunophenotype of nipple adenoma in a male patientAngel Fernandez-Flores
Service of Cellular Pathology, Clinica Ponferrada, Complejo Hospitalario Universitario Santiago de Compostela and from the University of Santiago de Compostela, Santiago de Compostela, Spain
Appl Immunohistochem Mol Morphol 19:190-4. 2011..Nevertheless, we have not found any studies on HER2/neu status, estrogen receptors, or progesterone receptors in nipple adenoma of male patients...
Study of the immunoexpression of Bcl-2 by a cutaneous granular cell tumorA Fernandez-Flores
S Patologia Celular, Clinica Ponferrada, Avenida Galicia 1, Ponferrada, Spain
Acta Dermatovenerol Alp Panonica Adriat 19:11-8. 2010..Cutaneous granular cell tumors have only rarely been examined for Bcl-2, a marker that is expressed by granular cell tumors from other parts of the body...
Promontory sign in a reactive benign vascular proliferationAngel Fernandez-Flores
Clinica Ponferrada, Spain
Am J Dermatopathol 32:700-3. 2010..The lesion spontaneously improved and eventually disappeared. It was thought to be secondary to a chronic trauma to the area due to a prolonged stance in bed in the emergency room...
Cutaneous leiomyomas and leiomyosarcomas: an immunohistochemical study with p53A Fernandez-Flores
Service of Cellular Pathology, Clinica Ponferrada, Ponferrada, Spain
Rom J Morphol Embryol 51:295-8. 2010..We therefore tried to investigate the use of p53 in such a conundrum. This marker has rarely been reported in cutaneous leiomyomas and even in more rare occasions, in cutaneous leiomyomas...
CD30+ cells in regressing keratoacanthoma and in non-keratoacanthomatous squamous cell carcinomaA Fernandez-Flores
The Service of Anatomic Pathology, Hospital El Bierzo, and the Service of Cellular Pathology, Clinica Ponferrada, Ponferrada, Spain
Bratisl Lek Listy 109:508-12. 2008..We conclude that CD30 positive cells might play a role in KA regression (Tab. 2, Fig. 4, Ref. 24)...
Granuloma annulare displaying pseudorosettes in Borelia infectionA Fernandez-Flores
S Patologia Celular, Clinica Ponferrada, Avenida Galicia 1, 24400 Ponferrada, Spain
Acta Dermatovenerol Alp Panonica Adriat 17:171-6. 2008..On the other hand, granuloma annulare (GA) has been recently closely associated with infection by Borrelia. We investigated how frequently pseudorosettes can be detected in common GA cases confirmed for Borrelia by PCR...
Mitosis in dermatofibroma: a worrisome histopathologic sign that does not necessarily equal recurrenceAngel Fernandez-Flores
Service of Anatomic Pathology and Cellular Pathology, Hospital El Bierzo, Ponferrada, Spain
J Cutan Pathol 35:839-42. 2008....
Immunohistochemical phenotype of cutaneous cribriform carcinoma with a panel of 15 antibodiesAngel Fernandez-Flores
Service of Anatomic Pathology, Clinica Ponferrada, Avenida Galicia 1, 24400 Ponferrada, Leon, Spain
Med Mol Morphol 40:212-7. 2007..The pattern of cytokeratins expressed by our case was positive for AE1-AE3, CAM 5.2, and CK7, without any expression for CK20. Other markers expressed by the tumor were EMA, ER, c-erbB-2, p53, and S-100...
Dermatofibrosarcoma protuberans is CD117 negative even after extreme antigen retrieval conditionsA Fernandez-Flores
Service of Anatomic Pathology, Hospital El Bierzo, Ponferrada, Spain
Rom J Morphol Embryol 48:419-21. 2007..We also discuss several alternatives that have been given in literature to explain the mechanism of how Imatinib works in DFSP...
Blue nevi of internal organs are more similar to the so-called dermal melanocytosis than to cutaneous blue neviA Fernandez-Flores
Service of Cellular Pathology, Clinica Ponferrada, Spain
Rom J Morphol Embryol 48:5-10. 2007....
Dendritic cell component in fetal dermatitisA Fernandez-Flores
Service of Anatomic Pathology, Hospital El Bierzo, Ponferrada, Spain
Rom J Morphol Embryol 49:81-4. 2008..Although our results are not incompatible with a main role of dendritic cells in FD, at least such a role would be plaid without an increase in the number of dendritic cells...
Langerhans cell histiocytosis of vulvaAngel Fernandez Flores
Service of Histopathology, Hospital El Bierzo, Ponferrada Leon, Spain
Dermatol Online J 12:15. 2006..We present a case of a 72-year-old woman, who had cutaneous vulvar involvement by Langerhans-cell histiocytosis, diagnosed by biopsy. An immunohistochemical study is also described...
Cutaneous epithelioid angiomatous nodule of the external earAngel Fernandez-Flores
Service of Anatomic Pathology, Clinica Ponferrada, Leon, Spain
Am J Dermatopathol 27:175-6. 2005
Value of cytological imprints in the diagnosis of atypical lipomatous tumorAngel Fernandez-Flores
Service of Anatomic Pathology, Clinica Ponferrada, Leon, Spain
Diagn Cytopathol 32:51-2. 2005..We suggest that imprints of lipomatous tumors may play a complementary role in such a search, and report a case of a 74-yr-old woman with an atypical lipomatous tumor of the left thigh, in which imprints helped to make the diagnosis....
Enterobiasis mimicking Crohn's diseaseAngel Fernandez-Flores
Service of Anatomic Pathology, Clinica Ponferrada, Leon, Spain
Indian J Gastroenterol 23:149-50. 2004..Biopsies showed chronic inflammation and a non-necrotizing granuloma. An adult pinworm was found in the lumen from an uninvolved segment. The patient responded to mebendazole...
Thomas Hodgkin's journey through Spain in 1863 and 1864Angel Fernandez-Flores
S de Anatomía Patológica, Clinica Ponferrada, Avda de Galicia, 1, 24400 Ponferrada Leon, Spain
J Med Biogr 12:25-31. 2004..It also describes Spain in the second half of the nineteenth century. Thus Thomas Hodgkin was a witness to one of the most vivid periods of the history of the country. The paper considers both aspects of Hodgkin's commentaries on Spain...
Multiple pilomatricoma in the context of previous seminoma: discussion on the possible relationshipAngel Fernandez-Flores
S Patologia Celular, Clinica Ponferrada, Avenida Galicia 1, 24400 Ponferrada, Spain
Acta Dermatovenerol Croat 16:25-7. 2008..Concerning the current association, as well as many of those described in the literature, we also discuss whether they might be more than mere coincidences, maybe explained by some molecular alterations...
Lack of expression of podoplanin by microvenular hemangiomaAngel Fernandez-Flores
Service of Anatomic Pathology, Hospital El Bierzo, Ponferrada, Spain
Pathol Res Pract 204:817-21. 2008..Nevertheless, the vessels of the MHs were positive for CD34, CD31, and von Willebrand Factor. This study adds MH to the list of vascular lesions that fail to express the allegedly lymphatic marker podoplanin...
Clinical changes in "true" hobnail hemangioma during menstruationA Fernandez-Flores
Anatomic Pathology, Hospital El Bierzo, Clinica Ponferrada, Ponferrada, Spain
Bratisl Lek Listy 109:141-3. 2008..The biopsy showed the characteristics of a typical HH with moderate iron deposits. Immunohistochemical staining failed to demonstrate either estrogen or progesterone receptors (Fig. 1, Ref. 15). Full Text (Free, PDF) www.bmj.sk...
CD30+ cell population in common keratoacanthomas: a study of 21 casesA Fernandez-Flores
Service of Anatomic Pathology, Hospital El Bierzo, Service of Cellular Pathology, Clinica Ponferrada, Ponferrada, Spain
Rom J Morphol Embryol 49:159-62. 2008..Lastly, we see this CD30+ infiltrate as a source of investigation to understand why keratoacanthomas spontaneously regress, instead of progressing to a metastasizing squamous cell carcinoma...
Toker cell related to the folliculo-sebaceous-apocrine unit: a study of horizontal sections of the nippleA Fernandez-Flores
Service of Anatomic Pathology, Hospital El Bierzo, Spain
Rom J Morphol Embryol 49:339-43. 2008..Since Toker cell (TC) was first described in 1970, many interpretations concerning their origin have been offered in literature. We tried to investigate the histology of Toker cells in horizontal sections of the nipple...
Plasma cell infiltrate in common acquired melanocytic nevusAngel Fernandez-Flores
Patología Celular, Clinica Ponferrada, Avenida Galicia 1, Ponferrada, Spain
Acta Dermatovenerol Croat 16:158-63. 2008..We conclude that the main point of this study is not to trust the presence of plasma cells as a solid criterion on its own, when evaluating a melanocytic lesion...
Double immunostaining with CD1A and CD68 in the phenotypic characterization of indeterminate cell histiocytosisA Fernandez-Flores
Service of Anatomic Pathology, Hospital El Bierzo, Fuentesnuevas, Ponferrada, Spain
Cesk Patol 44:37-9. 2008..The cells expressing both markers were mostly found in the top part of the dermis. The multinucleate cells expressed only CD68, but not CD1a...
Diabetes mellitus and Degos diseaseA Fernandez-Flores
Services Patología Celular, Clinica Ponferrada, Spain
Bratisl Lek Listy 109:414-7. 2008..Since the latter has recently been atributted to C5b-9 deposit in the vessel wall, we discuss if both conditions are pathogentically connected or just coincidental (Fig. 3, Ref. 32). Full Text (Free, PDF) www.bmj.sk...
Small lesions of porokeratosis show a normal proliferation rate with MIB-1Angel Fernandez-Flores
Service of Anatomic Pathology, Hospital El Bierzo, and Service of Cellular Pathology, S Patologia Celular, Clinica Ponferrada, Avenida Galicia 1, 24400 Ponferrada, Spain
Acta Dermatovenerol Alp Panonica Adriat 17:22-5. 2008..This study tested the proliferation rate of the cell population underneath the cornoid lamella...
Cutaneous squamous cell carcinoma of different grades: variation of the expression of CD10A Fernandez-Flores
Service of Anatomic Pathology, Hospital El Bierzo, Spain
Cesk Patol 44:100-2. 2008....
Necrobiosis lipoidica and cutaneous anaesthesia: immunohistochemical study of neural fibresAngel Fernandez-Flores
The Service of Anatomic Pathology, Hospital El Bierzo, and the Service of Cellular Pathology, Clinica Ponferrada, Ponferrada, Spain
Folia Neuropathol 46:154-7. 2008..Thermalgic information is mainly dependent on small fibres, either myelinated or unmyelinated, and S100 protein is expressed by Schwann cells...
A review of amyloid staining: methods and artifactsA Fernandez-Flores
Service of Cellular Pathology, Clinica Ponferrada, Ponferrada, Spain gpyaufl
Biotech Histochem 86:293-301. 2011..The role of the pathologist has progressed through history from the basic detection of amyloid as a substance to immunophenotypical classification of the particular amyloid present...
D2-40 and cutaneous epithelioid angiomatous noduleAngel Fernandez-Flores
Am J Dermatopathol 30:302-4. 2008
The histiocytic component of cutaneous manifestations of Kikuchi disease expresses myeloperoxidaseAngel Fernandez-Flores
Appl Immunohistochem Mol Morphol 16:202-3. 2008
Low proliferative activity in common dermatofibroma does not necessarily guarantee a low proliferation in all dermatofibroma variantsAngel Fernandez-Flores
Arch Pathol Lab Med 132:160; author reply 160-1. 2008
Lupus mastitis in the male breast mimicking inflammatory carcinomaAngel Fernandez-Flores
Services of Anatomic Pathology, General Surgery, Clinica Ponferrada, Leon, Spain
Breast J 12:272-3. 2006
Morphologic image on infundibular origin of verrucous cystAngel Fernandez-Flores
Am J Dermatopathol 30:199-200. 2008
Does cutaneous silica granuloma develop mainly in predisposed patients?Angel Fernandez-Flores
Eur J Dermatol 16:321-2. 2006
