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Line 313: |
| =Genitourinary pathology= | | =Genitourinary pathology= |
| ==Foreskin== | | ==Foreskin== |
| | {{Main|Foreskin}} |
| {{Main|Penis}} | | {{Main|Penis}} |
| ===General===
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| Indications:
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| *[[Phimosis]].
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|
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| Main considerations:
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| *[[Squamous cell carcinoma]].
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| *[[Lichen sclerosus]], [[AKA]] ''balanitis xerotica obliterans''.
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| *[[Lichen planus]].
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| *Infection, e.g. [[syphilis]], [[candidiasis]].
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| *[[Zoon balanitis]] - abundant [[plasma cell]]s.
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|
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| ===Microscopic===
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| Features:
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| *Usu. fibrotic dermis.
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| *+/-Inflammation.
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|
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| DDx:
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| *See ''[[Penis]].
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|
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| ===Sign out===
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| <pre>
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| Foreskin, Circumcision:
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| - Benign squamous mucosa within normal limits, consistent with foreskin.
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| </pre>
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|
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| <pre>
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| A. Foreskin, Circumcision:
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| - Benign squamous mucosa without significant histopathology, consistent with foreskin.
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| </pre>
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|
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| <pre>
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| Foreskin, Circumcision:
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| - Benign squamous mucosa with mild patchy chronic inflammation at the epidermal-dermal interface.
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| - NEGATIVE for dysplasia and NEGATIVE for malignancy.
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| </pre>
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|
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| <pre>
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| Foreskin, Circumcision:
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| - Squamous mucosa with mild-to-moderate acute and chronic
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| (lymphocytic) lichenoid inflammation.
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| - NEGATIVE for evidence of lichen sclerosus.
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| - NEGATIVE for dysplasia and NEGATIVE for malignancy.
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|
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| Comment:
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| A PASD stain is NEGATIVE for micro-organisms.
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| </pre>
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|
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| ====Micro====
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| The section shows squamous mucosa with mild basal pigmentation and subepithelial fibrous tissue. The epithelium matures to the surface. Significant inflammation is ABSENT. Atypia is ABSENT.
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|
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| ==Paraurethral cyst== | | ==Paraurethral cyst== |