Talk:Dermatopathology

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Tips of an ellipse involved

The lesion is clear of the margins in the plane of section in slide A2-1. However, the lesion is present in the mid portion of one of the tips (slide A1-1); this suggests the lesion is marginally excised or may be at the margin.

Actinic granuloma of O'Brien

SKIN LESION, RIGHT ANTERIOR SHOULDER, EXCISION:
- SMALL NON-NECROTIZING GRANULOMA, SUPERFICIAL, SEE COMMENT.
- SOLAR ELASTOSIS, MILD.
- NEGATIVE FOR MICRO-ORGANISMS WITH SPECIAL STAINS (ZN, GMS, PASF).
- NEGATIVE FOR MALIGNANCY.

COMMENT:
The granuloma could represent an 'actinic granuloma O'Brien'.

The granuloma is NOT typical of sarcoid.  No dermal scar is seen.

Curettage

SKIN LESION, FOREHEAD, CURETTAGE:
- MOSTLY KERATIN, FIBRIN AND INFLAMMATORY CELLS (CRUST?) -- SEE COMMENT.

COMMENT:
The specimen is very superficial; significant underlying pathology cannot be excluded.