Difference between revisions of "Case 47"

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52 bytes added ,  21:16, 15 March 2014
m
→‎Stains: should be obvious that is melanocytic
m (→‎Stains: should be obvious that is melanocytic)
 
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===Provided clinical history===
===Provided clinical history===
57 year old woman, lesion right face
57 year old woman, pigmented lesion


===Site===
===Site===
[[Skin]]
[[Skin]] - back


===Primary image===
===Primary image===
Line 17: Line 17:
{{hidden|Very High magnification|[[Image: Dysplastic nevus - add - very high mag.jpg |500px|link=|center|]]
{{hidden|Very High magnification|[[Image: Dysplastic nevus - add - very high mag.jpg |500px|link=|center|]]
<center>Very High magnification. [[H&E stain]].</center>}}
<center>Very High magnification. [[H&E stain]].</center>}}
<!---
===Differential diagnosis===
{{hidden|Differential diagnosis|<center>THE DDx GOES HERE</center>}}
-->


===Additional tests===
===Additional tests===
====More history====
====More history====
{{hidden|More history|<center>Size = 8 mm. irregular borders and variegated appearance.</center>}}
{{hidden|More history|<center>6 mm Lesion with irregular border and variegated appearance.</center>}}


====Ask a colleague====
====Ask a colleague====
{{hidden|Ask a colleague|<center>It's caused by a virus!</center>}}
{{hidden|Ask a colleague|<center>The cytology isn't that bad. It has the shouldering phenomenon and lamellar fibroplasia.</center>}}


====Stains====
====Stains====
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{{Case IHC
{{Case IHC
| blank=Dr Torres would ask why!
| blank=Dr Torres would ask why!
| ae1ae3= +ve
| ae1ae3=  
| a1at=  
| a1at=  
| acth=  
| acth=  
Line 92: Line 87:
| calponin=  
| calponin=  
| calretinin=  
| calretinin=  
| cam5p2= +ve dot like pattern
| cam5p2=  
| cd10=  
| cd10=  
| cd117=  
| cd117=  
Line 108: Line 103:
| cd4=  
| cd4=  
| cd43=  
| cd43=  
| cd45= -ve
| cd45=  
| cd5=  
| cd5=  
| cd56= +ve
| cd56=  
| cd68=  
| cd68=  
| cd7=  
| cd7=  
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| ck17=  
| ck17=  
| ck19=  
| ck19=  
| ck20= +ve (perinuclear dot-like pattern)
| ck20=  
| ck34be12=  
| ck34be12=  
| ck5_6=  
| ck5_6=  
| ck7= -ve
| ck7=  
| cmv=  
| cmv=  
| cmyc=  
| cmyc=  
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| dog1=  
| dog1=  
| ebv=  
| ebv=  
| ema= +ve
| ema=  
| erpr=  
| erpr=  
| f_viii=  
| f_viii=  
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| her2=  
| her2=  
| hhv8=  
| hhv8=  
| hmb45=  
| hmb45= -ve deep aspect
| hnf1beta=  
| hnf1beta=  
| hpv=  
| hpv=  
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| lysozyme=  
| lysozyme=  
| mammogl=  
| mammogl=  
| mcv = +ve
| mcv =  
| melanin_a=  
| melanin_a=  
| mitf=  
| mitf=  
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| myog=  
| myog=  
| nf=  
| nf=  
| nse= +ve
| nse=  
| oct3_4=  
| oct3_4=  
| p16=  
| p16=  
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| toxopl=  
| toxopl=  
| tsh=  
| tsh=  
| ttf1= -ve
| ttf1=  
| ubiquitin=  
| ubiquitin=  
| uchl1=  
| uchl1=  
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| tx_18=  
| tx_18=  
}}
}}
===Differential diagnosis===
{{hidden|Differential diagnosis|<center>[[Common melanocytic nevus]], [[Melanoma in situ]], [[Dysplastic nevus]]</center>}}
===Diagnosis===
===Diagnosis===
{{hidden|Diagnosis|<center>[[Merkel cell carcinoma]]</center>}}
{{hidden|Diagnosis|<center>[[Dysplastic nevus]]</center>}}
<br>
<br>
===Other cases===
===Other cases===
{{Cases navigation}}
{{Cases navigation}}
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[[Category:Cases in dermatopathology]]
[[Category:Cases in dermatopathology]]
[[Category:Cases difficulty 4]]
[[Category:Cases difficulty 3]]
[[Category:Cases in dermatopathology - senior]]
[[Category:Cases in dermatopathology - junior]]
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