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m (→Micro: tweak) |
(→Pilomatricoma: more ddx) |
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===Microscopic=== | ===Microscopic=== | ||
Features:<ref name=emed1058965dx>URL: [http://emedicine.medscape.com/article/1058965-diagnosis http://emedicine.medscape.com/article/1058965-diagnosis]. Accessed on: 10 September 2011.</ref> | Features:<ref name=emed1058965dx>URL: [http://emedicine.medscape.com/article/1058965-diagnosis http://emedicine.medscape.com/article/1058965-diagnosis]. Accessed on: 10 September 2011.</ref> | ||
* | *Nodular circumscribed lower dermis/subcutaneous adipose lesion; thus, usu. surrounded by connective tissue. | ||
**Sharpy demarcated island of cells. | **Sharpy demarcated island of cells. | ||
**Calcification in 75% | **Calcification in 75%. | ||
*Cells:<ref>[http://www.bccancer.bc.ca/HPI/CE/cytotechnology/cytosleuthquiz/nongyne/ngcase02d.htm http://www.bccancer.bc.ca/HPI/CE/cytotechnology/cytosleuthquiz/nongyne/ngcase02d.htm]</ref> | *Cells:<ref>[http://www.bccancer.bc.ca/HPI/CE/cytotechnology/cytosleuthquiz/nongyne/ngcase02d.htm http://www.bccancer.bc.ca/HPI/CE/cytotechnology/cytosleuthquiz/nongyne/ngcase02d.htm]</ref> | ||
**Basaloid epithelial cells - have prominent nucleoli. | **Basaloid epithelial cells - have prominent nucleoli. | ||
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DDx: | DDx: | ||
*[[Epidermal inclusion cyst]]. | *[[Epidermal inclusion cyst]]. | ||
*Pilomatrix carcinoma - invasive border, cytologic atypia, necrosis.<ref>{{Ref Derm|389}}</ref> | |||
*[[Squamous cell carcinoma]]. | |||
*[[Basal cell carcinoma]]. | |||
===Sign out=== | |||
<pre> | |||
SKIN LESION, RIGHT ARM, EXCISION: | |||
- PILOMATRICOMA. | |||
</pre> | |||
==Dermatofibroma== | ==Dermatofibroma== |
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