Foreskin: Difference between revisions
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The [[foreskin]] is a common [[ditzel]]. | |||
==General== | |||
Indications: | |||
*[[Phimosis]]. | |||
Main considerations: | |||
*[[Squamous cell carcinoma]]. | |||
*[[Lichen sclerosus]], [[AKA]] ''balanitis xerotica obliterans''. | |||
*[[Lichen planus]]. | |||
*Infection, e.g. [[syphilis]], [[candidiasis]]. | |||
*[[Zoon balanitis]] - abundant [[plasma cell]]s. | |||
Note: | |||
*Malignant and premalignant lesions are uncommon: 21 of 414 cases.<ref>{{cite journal | authors = West DS, Papalas JA, Selim MA, Vollmer RT | title = Dermatopathology of the foreskin: an institutional experience of over 400 cases | journal = J Cutan Pathol | volume = 40 | issue = 1 | pages = 11–8 | date = January 2013 | pmid = 23106553 | doi = 10.1111/cup.12032}}</ref> | |||
==Microscopic== | |||
Features: | |||
*Usu. fibrotic dermis. | |||
*+/-Inflammation. | |||
DDx: | |||
*See ''[[Penis]]. | |||
===Sign out=== | |||
<pre> | |||
Foreskin, Circumcision: | |||
- Benign squamous mucosa within normal limits, consistent with foreskin. | |||
</pre> | |||
<pre> | |||
A. Foreskin, Circumcision: | |||
- Benign squamous mucosa without significant histopathology, consistent with foreskin. | |||
</pre> | |||
<pre> | |||
Foreskin, Circumcision: | |||
- Benign squamous mucosa with mild patchy chronic inflammation at the epidermal-dermal interface. | |||
- NEGATIVE for dysplasia and NEGATIVE for malignancy. | |||
</pre> | |||
<pre> | |||
Foreskin, Circumcision: | |||
- Squamous mucosa with mild-to-moderate acute and chronic | |||
(lymphocytic) lichenoid inflammation. | |||
- NEGATIVE for evidence of lichen sclerosus. | |||
- NEGATIVE for dysplasia and NEGATIVE for malignancy. | |||
Comment: | |||
A PASD stain is NEGATIVE for micro-organisms. | |||
</pre> | |||
====Micro==== | |||
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. | |||
===Spongiotic dermatitis=== | |||
<pre> | |||
A. Foreskin, Circumcision: | |||
- Skin with chronic mixed interface inflammation (lymphocyte predominant) and spongiosis. | |||
- NEGATIVE for malignancy. | |||
</pre> | |||
==See also== | |||
[[Ditzels]]. | |||
==References== | |||
{{Reflist|1}} | |||
[[Category:Genitourinary pathology]] | |||