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| ==Keloid== | | ==Keloid== |
| *''Hypertrophic scar'' redirects to this section.
| | {{Main|Keloid}} |
| ===General===
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| *Sites of previous trauma/surgery, esp. in dark skinned individuals.<ref name=Ref_WMSP492>{{Ref WMSP|492}}</ref>
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| ===Microscopic===
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| Features:<ref name=Ref_WMSP492>{{Ref WMSP|492}}</ref>
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| *Thick collagen bundles - surrounded by paler staining fibroblasts - '''key feature'''.
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| *Lesion replaces adnexal structures, e.g. hair, sweat glands.
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| DDx:
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| *Hypertrophic scar.<ref name=pmid20927486>{{Cite journal | last1 = Gauglitz | first1 = GG. | last2 = Korting | first2 = HC. | last3 = Pavicic | first3 = T. | last4 = Ruzicka | first4 = T. | last5 = Jeschke | first5 = MG. | title = Hypertrophic scarring and keloids: pathomechanisms and current and emerging treatment strategies. | journal = Mol Med | volume = 17 | issue = 1-2 | pages = 113-25 | month = | year = | doi = 10.2119/molmed.2009.00153 | PMID = 20927486 | PMC = 3022978 }}</ref>
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| NB:
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| *'''Reported as "keloidal-type collagen"'''; the clinician decides between ''hypertrophic scar'' and ''keloid''.
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| ====Images====
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| <gallery>
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| Image:Keloid_-_add_-_low_mag.jpg | Keloid - low mag. (WC/Nephron)
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| Image:Keloid_-_add_-_intermed_mag.jpg | Keloid - intermed. mag. (WC/Nephron)
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| Image:Keloid_-_high_mag.jpg | Keloid - high mag. (WC/Nephron)
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| </gallery>
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| www:
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| *[http://missinglink.ucsf.edu/lm/DermatologyGlossary/keloids.html Keloid (ucsf.edu)].
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| ===Sign out===
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| <pre>
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| SKIN LESION, LEFT SCAPULA, EXCISION:
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| - DERMAL SCAR WITH KELOIDAL-TYPE COLLAGEN, SEE COMMENT.
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| COMMENT:
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| The findings are consistent with a hypertrophic scar or keloid; clinical correlation is required.
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| </pre>
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| ====Clinical provided====
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| <pre>
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| SKIN LESION, LEFT NIPPLE AREOLA, EXCISION:
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| - DERMAL SCAR WITH KELOIDAL-TYPE COLLAGEN, CONSISTENT WITH HYPERTROPHIC SCAR.
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| </pre>
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| ==Angiofibroma== | | ==Angiofibroma== |