Post on 01-Apr-2015
Case B22Case B22
23 year old male23 year old male Solitary lesion on lower backSolitary lesion on lower back Otherwise wellOtherwise well ?Haemangioma ?Lymphangioma?Haemangioma ?Lymphangioma
Diagnosis…Diagnosis…
Hobnail haemangiomaHobnail haemangioma
Case B23Case B23
13 year old female13 year old female ? Inclusion cyst? Inclusion cyst Skin excision right footSkin excision right foot
Diagnosis…Diagnosis…
Papillary eccrine adenomaPapillary eccrine adenoma
Case B24Case B24
78 year old female78 year old female Multiple plaques lower legsMultiple plaques lower legs Congo Red positiveCongo Red positive
Diagnosis…Diagnosis…
Nodular amyloidNodular amyloid
Case B25Case B25
82 year old male82 year old male Erythematous brown papules shoulderErythematous brown papules shoulder ?granulomatous ??B cell lymphoma?granulomatous ??B cell lymphoma
Diagnosis…Diagnosis…
LeishmaniasisLeishmaniasis
Case B26Case B26
52 year old female52 year old female End stage renal failure. Failed transplant.End stage renal failure. Failed transplant. Ulcers and painful skin nodules on Ulcers and painful skin nodules on
buttocks and thighsbuttocks and thighs
Diagnosis…Diagnosis…
CalciphylaxisCalciphylaxis
Case B27Case B27
55 year old male55 year old male History of balanitis ?cause ?ErythroplasiaHistory of balanitis ?cause ?Erythroplasia
Diagnosis…Diagnosis…
Zoon’s balanitisZoon’s balanitis
Case B28Case B28
48 year old female48 year old female Skin tag excised from backSkin tag excised from back
Diagnosis…Diagnosis…
Fibroepithelioma of PinkusFibroepithelioma of Pinkus
Case B29Case B29
70 year old female70 year old female Three year history of lesion right soleThree year history of lesion right sole
Diagnosis…Diagnosis…
PoromaPoroma
Case B30Case B30
11 year old male11 year old male Naevus lower lipNaevus lower lip Present for three yearsPresent for three years Increasing in sizeIncreasing in size
Diagnosis…Diagnosis…
Deep penetrating naevusDeep penetrating naevus
Case B31Case B31
63 year old male63 year old male Three to four year history of annular raised Three to four year history of annular raised
lesions with central clearinglesions with central clearing
Diagnosis…Diagnosis…
Granuloma annulareGranuloma annulare
Case B33Case B33
82 year old male82 year old male
?BCC from scalp?BCC from scalp
BerEP4++(30%), EMA++(40%), Cam5.2+BerEP4++(30%), EMA++(40%), Cam5.2++(5%), CK7++(80%), p53++(100%)+(5%), CK7++(80%), p53++(100%)
Diagnosis…Diagnosis…
Sebaceous carcinomaSebaceous carcinoma
Case B34Case B34
37 year old male37 year old male Large naevoid/hamartomatous lesion left Large naevoid/hamartomatous lesion left
shoulder/chest wall since childhoodshoulder/chest wall since childhood Recently developed several BCCs Recently developed several BCCs
(biopsied/excised) within the lesion(biopsied/excised) within the lesion
Diagnosis…Diagnosis…
Basaloid follicular hamartomaBasaloid follicular hamartoma
Case B35Case B35
76 year old male76 year old male 10mm nodule upper rim left ear10mm nodule upper rim left ear ?BCC/SCC?BCC/SCC Epithelial islands positive for MNF116 and Epithelial islands positive for MNF116 and
contained many S100 positive dendritic contained many S100 positive dendritic cellscells
CEA highlighted the very occasional ductal CEA highlighted the very occasional ductal structuresstructures
Diagnosis…Diagnosis…
LymphadenomaLymphadenoma
Case B36Case B36
71 year old male71 year old male ?SCC right ear?SCC right ear Diffuse strong expression of EMA and Diffuse strong expression of EMA and
Cam5.2Cam5.2 Focal weak BerEP4 expressionFocal weak BerEP4 expression Convincing CEA positivityConvincing CEA positivity ER, PR negativeER, PR negative
Diagnosis…Diagnosis…
Eccrine duct carcinomaEccrine duct carcinoma