Case B22 23 year old male Solitary lesion on lower back Otherwise well ?Haemangioma...

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Case B22 Case B22 23 year old male 23 year old male Solitary lesion on lower back Solitary lesion on lower back Otherwise well Otherwise well ?Haemangioma ?Lymphangioma ?Haemangioma ?Lymphangioma

Transcript of Case B22 23 year old male Solitary lesion on lower back Otherwise well ?Haemangioma...

Page 1: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

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

Page 2: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 3: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 4: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 5: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 6: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Diagnosis…Diagnosis…

Page 7: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Hobnail haemangiomaHobnail haemangioma

Page 8: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Case B23Case B23

13 year old female13 year old female ? Inclusion cyst? Inclusion cyst Skin excision right footSkin excision right foot

Page 9: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 10: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 11: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 12: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 13: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Diagnosis…Diagnosis…

Page 14: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Papillary eccrine adenomaPapillary eccrine adenoma

Page 15: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Case B24Case B24

78 year old female78 year old female Multiple plaques lower legsMultiple plaques lower legs Congo Red positiveCongo Red positive

Page 16: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 17: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 18: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 19: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 20: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Diagnosis…Diagnosis…

Page 21: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Nodular amyloidNodular amyloid

Page 22: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

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

Page 23: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 24: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 25: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 26: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 27: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Diagnosis…Diagnosis…

Page 28: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

LeishmaniasisLeishmaniasis

Page 29: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

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

Page 30: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 31: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 32: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 33: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 34: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Diagnosis…Diagnosis…

Page 35: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

CalciphylaxisCalciphylaxis

Page 36: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Case B27Case B27

55 year old male55 year old male History of balanitis ?cause ?ErythroplasiaHistory of balanitis ?cause ?Erythroplasia

Page 37: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 38: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 39: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 40: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Diagnosis…Diagnosis…

Page 41: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Zoon’s balanitisZoon’s balanitis

Page 42: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Case B28Case B28

48 year old female48 year old female Skin tag excised from backSkin tag excised from back

Page 43: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 44: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 45: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 46: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 47: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Diagnosis…Diagnosis…

Page 48: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Fibroepithelioma of PinkusFibroepithelioma of Pinkus

Page 49: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Case B29Case B29

70 year old female70 year old female Three year history of lesion right soleThree year history of lesion right sole

Page 50: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 51: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 52: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 53: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 54: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Diagnosis…Diagnosis…

Page 55: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

PoromaPoroma

Page 56: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

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

Page 57: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 58: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 59: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 60: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 61: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 62: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 63: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 64: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 65: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 66: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 67: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Diagnosis…Diagnosis…

Page 68: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Deep penetrating naevusDeep penetrating naevus

Page 69: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

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

Page 70: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 71: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 72: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 73: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 74: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Diagnosis…Diagnosis…

Page 75: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Granuloma annulareGranuloma annulare

Page 76: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

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%)

Page 77: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 78: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 79: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 80: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 81: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Diagnosis…Diagnosis…

Page 82: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Sebaceous carcinomaSebaceous carcinoma

Page 83: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

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

Page 84: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 85: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 86: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 87: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 88: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Diagnosis…Diagnosis…

Page 89: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Basaloid follicular hamartomaBasaloid follicular hamartoma

Page 90: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

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

Page 91: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 92: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 93: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 94: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 95: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 96: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Diagnosis…Diagnosis…

Page 97: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

LymphadenomaLymphadenoma

Page 98: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

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

Page 99: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 100: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 101: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 102: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.
Page 103: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Diagnosis…Diagnosis…

Page 104: Case B22  23 year old male  Solitary lesion on lower back  Otherwise well  ?Haemangioma ?Lymphangioma.

Eccrine duct carcinomaEccrine duct carcinoma