Dermal scar: Difference between revisions
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==General== | ==General== | ||
*Previous surgery, biopsy, trauma. | *Previous surgery, biopsy, trauma. | ||
==Gross== | |||
*Raised irregularity - may be linear. | |||
*Typically pale.<ref>{{Cite journal | last1 = Velangi | first1 = SS. | last2 = Rees | first2 = JL. | title = Why are scars pale? An immunohistochemical study indicating preservation of melanocyte number and function in surgical scars. | journal = Acta Derm Venereol | volume = 81 | issue = 5 | pages = 326-8 | month = | year = | doi = | PMID = 11800137 }}</ref> | |||
**May be hyperpigmented.<ref name=pmid23162241>{{Cite journal | last1 = Chadwick | first1 = S. | last2 = Heath | first2 = R. | last3 = Shah | first3 = M. | title = Abnormal pigmentation within cutaneous scars: A complication of wound healing. | journal = Indian J Plast Surg | volume = 45 | issue = 2 | pages = 403-11 | month = May | year = 2012 | doi = 10.4103/0970-0358.101328 | PMID = 23162241 }}</ref> | |||
===Images=== | |||
<gallery> | |||
Image:Scars 2yrs.png | Scars. (WC) | |||
</gallery> | |||
==Microscopic== | ==Microscopic== | ||
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DDx: | DDx: | ||
*[[Malignant melanoma]], desmoplastic-neurotropic type - nuclear pleomorphism and/or hyperchromasia; may be focal.<ref name=Ref_Derm479>{{Ref Derm|479}}</ref> | *[[Malignant melanoma]], desmoplastic-neurotropic type - nuclear pleomorphism and/or hyperchromasia; may be focal.<ref name=Ref_Derm479>{{Ref Derm|479}}</ref> | ||
**Epidermal hyperplasia and the preservation of adnexal structures is very suspicious. | |||
*[[Dermatofibroma]]. | *[[Dermatofibroma]]. | ||
*Desmoplastic [[Spitz nevus]]. | *Desmoplastic [[Spitz nevus]]. | ||
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- DERMAL SCAR. | - DERMAL SCAR. | ||
- SOLAR ELASTOSIS. | - SOLAR ELASTOSIS. | ||
</pre> | |||
<pre> | |||
SKIN LESION, LEFT UPPER ABDOMINAL WALL, RE-EXCISION: | |||
- DERMAL SCAR, COMPLETELY EXCISED. | |||
- BENIGN PIGMENT. | |||
- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY. | |||
</pre> | </pre> | ||
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*[[Non-malignant skin disease]]. | *[[Non-malignant skin disease]]. | ||
*[[Dermatopathology]]. | *[[Dermatopathology]]. | ||
*[[Cesarean scar defect]]. | |||
==References== | ==References== | ||