circulation e welcome!. case 71 clinical: female aged 65 years - lesion on extensor aspect of right...

Circulation ECirculation E

Welcome!Welcome!

Case 71Case 71

Clinical: female aged 65 years - lesion on Clinical: female aged 65 years - lesion on extensor aspect of right elbowextensor aspect of right elbow

Specimen: Biopsy of lesion. Specimen: Biopsy of lesion. Macro: Multiple scaly lesionsMacro: Multiple scaly lesions

Diagnosis…..Diagnosis…..

PorokeratosisPorokeratosis

Case 72Case 72

Clinical: Lesion on dorsum aspect of right Clinical: Lesion on dorsum aspect of right foot foot

Immuno- HHV8 negativeImmuno- HHV8 negative

Specimen: Excision Specimen: Excision

Macro: Tissue measuring 8x7x7mm Macro: Tissue measuring 8x7x7mm

Diagnosis…..Diagnosis…..

Spindle cell haemangioma Spindle cell haemangioma

Case 73Case 73

Clinical: 12 month history of growing lesion Clinical: 12 month history of growing lesion left hand. ?SCC. Also keeps tropical fish.left hand. ?SCC. Also keeps tropical fish.

Specimen: Incisional biopsy lesion dorsum Specimen: Incisional biopsy lesion dorsum left handleft hand

Macro: 25mm diameter ulcerated lesion Macro: 25mm diameter ulcerated lesion

Diagnosis…..Diagnosis…..

Fish tank granulomaFish tank granuloma

Case 74Case 74

Clinical: male aged 13 - tender deeply Clinical: male aged 13 - tender deeply pigmented molepigmented mole

Specimen: Excision skin right shoulderSpecimen: Excision skin right shoulder

Macro: Ellipse of skin 19x6x6mm with a Macro: Ellipse of skin 19x6x6mm with a grey brown 5mm nodulegrey brown 5mm nodule

Most popular diagnosis…..Most popular diagnosis…..

Deep penetrating naevusDeep penetrating naevus

Case 75Case 75

Clinical: male aged 43- Necrotising Clinical: male aged 43- Necrotising fascitis debrided yesterday, increased fascitis debrided yesterday, increased sepsis, clinical deterioration today. sepsis, clinical deterioration today. Therefore further debridement from skin Therefore further debridement from skin and subcutaneous tissue from right thigh.and subcutaneous tissue from right thigh.

Diagnosis…..Diagnosis…..

Necrotising fasciitis Necrotising fasciitis

Case 76Case 76

Clinical: male aged 46 - pigmented Clinical: male aged 46 - pigmented naevus changed recently ?junctionalnaevus changed recently ?junctional

Specimen: Skin ellipse excisionSpecimen: Skin ellipse excision

Macro: 12x4x3mm skin ellipse with a Macro: 12x4x3mm skin ellipse with a central 3mm pigmented lesioncentral 3mm pigmented lesion

Diagnosis…..Diagnosis…..

Diagnostic categories: Popularity:Diagnostic categories: Popularity: 1 Mildly atypical naevus 1 Mildly atypical naevus 1.271.27 3 Atypical naevus 3 Atypical naevus 2.642.64 4 Benign naevus 4 Benign naevus 5.295.29

2 Moderately atypical naevus 2 Moderately atypical naevus 0.480.48

Case 77Case 77

Clinical: male aged 72 ?Dermatofibroma Clinical: male aged 72 ?Dermatofibroma anterior abdominal wallanterior abdominal wall

Macro: An ellipse of slightly pigmented Macro: An ellipse of slightly pigmented skin with nodule on cut surfaceskin with nodule on cut surface

Diagnosis…..Diagnosis…..

1 Tubular apocrine adenoma 1 Tubular apocrine adenoma 4.984.98 2 Papillary eccrine adenoma 2 Papillary eccrine adenoma 3.833.83

Case 78Case 78

Clinical: female aged 71, diabetic, Clinical: female aged 71, diabetic, yellow/brown plaques anterior shin for yellow/brown plaques anterior shin for three years.three years.

Specimen: punch biopsy Macro: 4mm Specimen: punch biopsy Macro: 4mm punchpunch

Diagnosis…..Diagnosis…..

Necrobiosis lipoidica Necrobiosis lipoidica 7.967.96

Case 79Case 79

Clinical: male aged 12 yearsClinical: male aged 12 years

Specimen: Excision of lesion of the left Specimen: Excision of lesion of the left calfcalf

Diagnosis…..Diagnosis…..

Spitz naevus Spitz naevus

Case 80Case 80

Clinical: male aged 58 - lesion on right ear Clinical: male aged 58 - lesion on right ear present 1 year ?wart ?haemangiomapresent 1 year ?wart ?haemangioma

Specimen: Curettage lesion on earSpecimen: Curettage lesion on ear Macro: a single piece of tissue which Macro: a single piece of tissue which

appears to be entirely lesional and in appears to be entirely lesional and in which the skin surface is difficult to which the skin surface is difficult to distinguish 9x7x5mm. Bisected all distinguish 9x7x5mm. Bisected all embedded.embedded.

Diagnosis…..Diagnosis…..

Syringocystadenoma papilliferum Syringocystadenoma papilliferum

The EndThe End