Circulation ECirculation E
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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