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Soft tissue, right anterior calf, excision: | Soft tissue, right anterior calf, excision: | ||
- Cellular dermatofibroma. | - Cellular dermatofibroma. | ||
== Dupuytren contracture == | |||
===Microscopic description=== | |||
The sections show bland spindle cells in dense collagen. No nuclear atypia is seen. | |||
===Final diagnosis=== | |||
Palmar fascia, left hand, excision:<br> | |||
- FIBROMATOSIS CONSISTENT WITH DUPUYTREN'S CONTRACTURE. | |||
== Frictional keratosis == | |||
===Microscopic=== | |||
Multiple levels show stratified squamous epithelium with focal ulceration, fibrin, and reactive inflammation consisting predominantly of neutrophils, and, to a lesser extent, from lymphocytes and plasma cells. There is keratosis of the epithelium, a prominent granular cell layer and acanthosis. Moderate dermal fibrosis is present. No viral cytopathic changes are identified. PAS staining does not identify microorganisms. | |||
===Final diagnosis=== | |||
Tongue, left posterior lateral, biopsy:<br> | |||
-FOCAL ULCERATION WITH REGENERATION/REPARATIVE EPITHELIAL HYPERPLASIA.<br> | |||
-NEGATIVE FOR DYSPLASIA.<br> | |||
-PAS STAIN NEGATIVE FOR MICROORGANISMS. | |||
== Pigmented seborrheic keratosis == | |||
===Microscopic=== | |||
The sections show skin with acanthosis, horn cysts, and keratinocyte hyperpigmentation. Solar elastosis is present. | |||
===Final diagnosis=== | |||
Skin, right preauricular area, biopsy: <br> | |||
- PIGMENTED SEBORRHEIC KERATOSIS.<br> | |||
- EXTENSIVE SOLAR ELASTOSIS. | |||
== Seborrheic keratosis == | |||
===Microscopic=== | |||
The sections show skin with acanthosis and horn cysts. | |||
===Final diagnosis=== | |||
Skin, right preauricular area, biopsy: <br> | |||
- SEBORRHEIC KERATOSIS.<br> | |||
== Dermal scar == | |||
===Microscopic=== | |||
The sections show skin with dense collagen fibres running parallel to the dermal-epidermal junction. There is focal loss of the rete ridges and adnexal structures. | |||
===Final diagnosis=== | |||
Skin, scalp graft, excision:<br> | |||
- MATURE HYALINIZED DERMAL SCAR.<br> | |||
- NEGATIVE FOR ATYPIA AND MALIGNANCY. |
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