Difference between revisions of "Case 47"

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38 bytes removed ,  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>Common melanocytic nevus, Melanoma in situ, Dysplastic nevus</center>}}


===Additional tests===
===Additional tests===
====More history====
====More history====
{{hidden|More history|<center>8 mm Lesion with irregular border 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>This is also called atypical nevus, nevus with architectural disorder, nevus with architectural disorder and cytologic atypia, Clark’s nevus</center>}}
{{hidden|Ask a colleague|<center>The cytology isn't that bad. It has the shouldering phenomenon and lamellar fibroplasia.</center>}}


====Stains====
====Stains====
Line 43: Line 38:
| cresylv=  
| cresylv=  
| diffquik=  
| diffquik=  
| fontana= +ve
| fontana=  
| gallyas=  
| gallyas=  
| giemsa=  
| giemsa=  
Line 151: Line 146:
| her2=  
| her2=  
| hhv8=  
| hhv8=  
| hmb45= +ve
| hmb45= -ve deep aspect
| hnf1beta=  
| hnf1beta=  
| hpv=  
| hpv=  
Line 160: Line 155:
| insulin=  
| insulin=  
| kappa=  
| kappa=  
| ki67= +ve
| ki67=  
| lambda=  
| lambda=  
| leu7=  
| leu7=  
Line 171: Line 166:
| mcv =  
| mcv =  
| melanin_a=  
| melanin_a=  
| mitf= +ve
| mitf=  
| myleoperox=  
| myleoperox=  
| myo_d1=  
| myo_d1=  
Line 193: Line 188:
| psa=  
| psa=  
| psap=  
| psap=  
| s100= +ve
| s100=  
| sma=  
| sma=  
| somatsatin=  
| somatsatin=  
Line 235: Line 230:
| tx_18=  
| tx_18=  
}}
}}
===Differential diagnosis===
{{hidden|Differential diagnosis|<center>[[Common melanocytic nevus]], [[Melanoma in situ]], [[Dysplastic nevus]]</center>}}
===Diagnosis===
===Diagnosis===
{{hidden|Diagnosis|<center>[[Dysplastic nevus]]</center>}}
{{hidden|Diagnosis|<center>[[Dysplastic nevus]]</center>}}
Line 247: Line 245:


[[Category:Cases in dermatopathology]]
[[Category:Cases in dermatopathology]]
[[Category:Cases difficulty 1]]
[[Category:Cases difficulty 3]]
[[Category:Cases in dermatopathology - junior]]
[[Category:Cases in dermatopathology - junior]]
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