Difference between revisions of "Non-malignant skin disease"

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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>
*Lower dermis/subcutaneous adipose lesion; thus, usu. surrounded by connective tissue.
*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% - with calcium staining (von Kossa).  
**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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