Difference between revisions of "Dermatopathology"

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206 bytes added ,  03:19, 11 September 2011
→‎Non-malignant non-cystic: subdivide more -- re-arr
(→‎Non-malignant non-cystic: subdivide more -- re-arr)
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=Common entities in tables=
=Common entities in tables=
==Non-malignant non-cystic==
==Non-malignant non-cystic - very common==
{| class="wikitable sortable" style="margin-left:auto;margin-right:auto"
{| class="wikitable sortable" style="margin-left:auto;margin-right:auto"
! Entity
! Entity
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| variants: angiolipoma (blood vessels), myolipoma (muscle)
| variants: angiolipoma (blood vessels), myolipoma (muscle)
| [http://circ.ahajournals.org/content/113/21/e778/F5.expansion.html (ahajournals.org)]
| [http://circ.ahajournals.org/content/113/21/e778/F5.expansion.html (ahajournals.org)]
|-
| [[Angiofibroma]]
| fibrotic dermis, dilated capillaries
| enlarged (stellate fibroblasts)
| dome-shaped - face, boys & nosebleeds ([[nasopharyngeal angiofibroma]])
| Stains/IHC
| DDx
| may be associated with [[tuberous sclerosis]]
| [http://www.drdittmar.lu/images/sce/angiofibroma-s.jpg Angiofibroma (drdittmar.lu)]
|-
|-
| [[Keloid]]
| [[Keloid]]
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| none
| none
| [[dermatofibroma]] (???)
| [[dermatofibroma]] (???)
| Other ?
| hypertrophic scar
| [http://missinglink.ucsf.edu/lm/DermatologyGlossary/keloids.html (ucsf.edu)].
| [http://missinglink.ucsf.edu/lm/DermatologyGlossary/keloids.html (ucsf.edu)].
|- <!--
| Entity
| Key histologic features
| Other features
| Clinical
| Stains/IHC
| DDx
| Other
| Image -->
|}
==Non-malignant non-cystic - common==
{| class="wikitable sortable" style="margin-left:auto;margin-right:auto"
! Entity
! Key histologic feature
! Other features
! Clinical
! Stains/IHC
! DDx
! Other
! Image
|-  
|-  
| [[Neurofibroma]]
| [[Neurofibroma]]
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| favourite exam case
| favourite exam case
| [http://commons.wikimedia.org/wiki/File:Molluscum_contagiosum_high_mag.jpg (WC)]
| [http://commons.wikimedia.org/wiki/File:Molluscum_contagiosum_high_mag.jpg (WC)]
|-
| [[Granuloma annulare]]
| dermal palisading [[granuloma]] around necrotic collagen
| mucin in centre of lesion, (peripheral) chronic inflammatory cells
| benign, self-limited
| none (CD68?)
| [[necrobiosis lipoidica]], [[rheumatoid nodule]]
| Other ?
| [http://www.dermaamin.com/site/histopathology-of-the-skin/61-i/1813-interstitial-granuloma-annulare-.html (dermaamin.com)]
|-
| [[Juvenile xanthogranuloma]] (JXG)
| Touton giant cells - multi-nucleated cells where nuclei are distributed around the cell periphery forming a ring
| abundant cytoplasm
| children
| CD68+, CD1a-, CD207-
| [[Langerhans cell histiocytosis]]
| Other ?
| [http://commons.wikimedia.org/wiki/File:Juvenile_xanthogranuloma_-_intermed_mag.jpg (WC)]
|-  
|-  
| [[Verruca vulgaris]]
| [[Verruca vulgaris]]
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| [http://commons.wikimedia.org/wiki/File:Anal_condyloma_%282%29.jpg (WC)]  
| [http://commons.wikimedia.org/wiki/File:Anal_condyloma_%282%29.jpg (WC)]  
|-  
|-  
| [[Pilomatricoma]]
| [[Granuloma annulare]]
| anucleate squamous cells (ghost cells), giant cells
| dermal palisading [[granuloma]] around necrotic collagen
| bland basaloid cells
| mucin in centre of lesion, (peripheral) chronic inflammatory cells
| common in children
| benign, self-limited
| none
| none (CD68?)
| [[necrobiosis lipoidica]], [[rheumatoid nodule]]
| Other ?
| [http://www.dermaamin.com/site/histopathology-of-the-skin/61-i/1813-interstitial-granuloma-annulare-.html (dermaamin.com)]
|-
| [[Angiofibroma]]
| fibrotic dermis, dilated capillaries
| enlarged (stellate fibroblasts)
| dome-shaped - face, boys & nosebleeds ([[nasopharyngeal angiofibroma]])
| Stains/IHC
| DDx
| DDx
| mutations of CTNNB1 gene
| may be associated with [[tuberous sclerosis]]
| [http://commons.wikimedia.org/wiki/File:Pilomatrixoma_-_intermed_mag.jpg (WC)]
| [http://www.drdittmar.lu/images/sce/angiofibroma-s.jpg Angiofibroma (drdittmar.lu)]
|- <!--
|}
 
 
==Non-malignant non-cystic - children==
{| class="wikitable sortable" style="margin-left:auto;margin-right:auto"
! Entity
! Key histologic feature
! Other features
! Clinical
! Stains/IHC
! DDx
! Other
! Image
|-  
| [[Pilomatricoma]]
| [[Pilomatricoma]]
| anucleate squamous cells (ghost cells), giant cells
| anucleate squamous cells (ghost cells), giant cells
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| mutations of CTNNB1 gene
| mutations of CTNNB1 gene
| [http://commons.wikimedia.org/wiki/File:Pilomatrixoma_-_intermed_mag.jpg (WC)]
| [http://commons.wikimedia.org/wiki/File:Pilomatrixoma_-_intermed_mag.jpg (WC)]
|- <!--
|-  
| Entity
| [[Juvenile xanthogranuloma]] (JXG)
| Key histologic features
| Touton giant cells - multi-nucleated cells where nuclei are distributed around the cell periphery forming a ring
| Other features
| abundant cytoplasm
| Clinical
| children
| Stains/IHC
| CD68+, CD1a-, CD207-
| DDx
| [[Langerhans cell histiocytosis]]
| Other
| Other ?
| Image -->
| [http://commons.wikimedia.org/wiki/File:Juvenile_xanthogranuloma_-_intermed_mag.jpg (WC)]
|}
|}


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