Circulation E Welcome!

Case 71  Clinical: female aged 65 years - lesion on extensor aspect of right elbow  Specimen: Biopsy of lesion.  Macro: Multiple scaly lesions

 Diagnosis…..

 Porokeratosis

Case 72  Clinical: Lesion on dorsum aspect of right foot  Immuno- HHV8 negative  Specimen: Excision  Macro: Tissue measuring 8x7x7mm

 Diagnosis…..

 Spindle cell haemangioma

Case 73  Clinical: 12 month history of growing lesion left hand. ?SCC. Also keeps tropical fish.  Specimen: Incisional biopsy lesion dorsum left hand  Macro: 25mm diameter ulcerated lesion

 Diagnosis…..

 Fish tank granuloma

Case 74  Clinical: male aged 13 - tender deeply pigmented mole  Specimen: Excision skin right shoulder  Macro: Ellipse of skin 19x6x6mm with a grey brown 5mm nodule

 Most popular diagnosis…..

 Deep penetrating naevus

Case 75  Clinical: male aged 43- Necrotising fascitis debrided yesterday, increased sepsis, clinical deterioration today. Therefore further debridement from skin and subcutaneous tissue from right thigh.

 Diagnosis…..

Necrotising fasciitis

Case 76  Clinical: male aged 46 - pigmented naevus changed recently ?junctional  Specimen: Skin ellipse excision  Macro: 12x4x3mm skin ellipse with a central 3mm pigmented lesion

 Diagnosis…..

 Diagnostic categories: Popularity:  1 Mildly atypical naevus 1.27  3 Atypical naevus 2.64  4 Benign naevus 5.29  2 Moderately atypical naevus 0.48

Case 77  Clinical: male aged 72 ?Dermatofibroma anterior abdominal wall  Macro: An ellipse of slightly pigmented skin with nodule on cut surface

 Diagnosis…..

 1 Tubular apocrine adenoma 4.98  2 Papillary eccrine adenoma 3.83

Case 78  Clinical: female aged 71, diabetic, yellow/brown plaques anterior shin for three years.  Specimen: punch biopsy Macro: 4mm punch

 Diagnosis…..

 Necrobiosis lipoidica 7.96

Case 79  Clinical: male aged 12 years  Specimen: Excision of lesion of the left calf

 Diagnosis…..

Spitz naevus Spitz naevus

Case 80  Clinical: male aged 58 - lesion on right ear present 1 year ?wart ?haemangioma  Specimen: Curettage lesion on ear  Macro: a single piece of tissue which appears to be entirely lesional and in which the skin surface is difficult to distinguish 9x7x5mm. Bisected all embedded.

 Diagnosis…..

Syringocystadenoma papilliferum

 The End