—  SPECIALTY CONFERENCE  —

Dermatopathology
Monday, March 26, 2007, 7:30 PM
CC 5 A/B

Neoplasms of the Epidermis




Click the button above to add this event to your Itinerary Planner...



Moderator:

BRUCE R. SMOLLER
University of Arkansas for Medical Sciences
Little Rock, AR




Clinical histories and Virtual Slides as well as Still Images are displayed below.
For the fastest viewing of virtual slides, click:



under each thumbnail image below. You must have Aperio ImageScope installed on your PC.
If you do not already have Aperio ImageScope, Windows users with administrator privileges may download and install a free version in order to view USCAP Virtual Slides. Click the icon on the right to get your free copy:  
Or, click on slide thumbnail images to view each slide
in a Web-based slide viewer, which is somewhat slower.

If you have any difficulties viewing these slides, email or call George Clay at +1.724.449.1137.




Case 1

Submitted by: David Cassarino - Stanford University School of Medicine, Stanford, CA

Clinical Summary:

A 60 year-old male presented with a several month history of an enlarging, occasionally bleeding, lesion on his scalp. Clinical examination showed a 1.5 cm ulcerated plaque on the left scalp; the clinical differential diagnosis was SCC versus BCC.


Case 1 - Slide 1
Click to view with ImageScope
Click to view with a Web-Based Viewer


Case 1 - Figure 1
Scalp tumor with deep dermal invasion, 2X

Case 1 - Figure 2
Infiltrating tumor with basaloid to squamoid differentiation and clear cell areas, 4X

Case 1 - Figure 3
Higher power of squamoid-appearing area with scattered large, pleomorphic clear cells (arrow), 20X

Case 1 - Figure 4
Juxtaposition of squamoid (left) and clear cell areas (right) with frequent mitoses (Figure 5), 20X

Case 1 - Figure 5




Case 2

Submitted by: David Cassarino - Stanford University School of Medicine, Stanford, CA

Clinical Summary:

A 54 year-old female presented with a several-year history of a lesion on her buttock. Clinical examination showed a 2 cm, firm, bluish nodule on the left buttock. The clinical impression was pilomatricoma versus other adnexal neoplasm.


Case 2 - Slide 1
Click to view with ImageScope
Click to view with a Web-Based Viewer


Case 2 - Figure 1
Large, dermal-based nodulo-cystic tumor, 2X

Case 2 - Figure 2
Bland, adnexal-type cells with occasional ductal lumina formation

Case 2 - Figure 3
Bland, adnexal-type cells with occasional ductal lumina formation

Case 2 - Figure 4
Higher power examination revealed areas of mucinous differentiation, 40X

Case 2 - Figure 5
High power of mucinous cells with Goblet-like features, 80X




Case 3

Submitted by: Kim Hiatt - University of Arkansas for Medical Sciences, Little Rock, AR

Clinical Summary:

A 59 year old man presented with a nodule in the left pre-auricular area. He has no significant medical history.


Case 3 - Slide 1
Click to view with ImageScope
Click to view with a Web-Based Viewer


Case 3 - Figure 1

Case 3 - Figure 2




Case 4

Submitted by: Kim Hiatt - University of Arkansas for Medical Sciences, Little Rock, AR

Clinical Summary:

A 43 year old female presented with an asymptomatic nodule on the nose. She is otherwise healthy.


Case 4 - Slide 1
Click to view with ImageScope
Click to view with a Web-Based Viewer


Case 4 - Figure 1

Case 4 - Figure 2




Case 5

Submitted by: Steve Billings - University of Indiana School of Medicine, Indianapolis, IN

Clinical Summary:

A 73-year old man presented to his dermatologist with an 10 mm flesh-colored papule on his scalp.


Case 5 - Slide 1
Click to view with ImageScope
Click to view with a Web-Based Viewer


Case 5 - Figure 1

Case 5 - Figure 2

Case 5 - Figure 3

Case 5 - Figure 4




Case 6

Submitted by: Steve Billings - University of Indiana School of Medicine, Indianapolis, IN

Clinical Summary:

A 68-year old woman presented with a flesh-colored to slightly erythematous papule on her face.


Case 6 - Slide 1
Click to view with ImageScope
Click to view with a Web-Based Viewer


Case 6 - Figure 1

Case 6 - Figure 2

Case 6 - Figure 3

Case 6 - Figure 4




Case 7

Submitted by: Lori Erickson - Mayo Clinic College of Medicine, Rochester, MN

Clinical Summary:

51 year old female presents with a "lesion" on the distal upper extremity.


Case 7 - Slide 1
Click to view with ImageScope
Click to view with a Web-Based Viewer


Case 7 - Figure 1

Case 7 - Figure 2

Case 7 - Figure 3




Case 8

Submitted by: Lori Erickson - Mayo Clinic College of Medicine, Rochester, MN

Clinical Summary:

46 year old male with "lesion on nose, ?BCC".


Case 8 - Slide 1
Click to view with ImageScope
Click to view with a Web-Based Viewer


Case 8 - Figure 1

Case 8 - Figure 2

Case 8 - Figure 3

Case 8 - Figure 4

During the meeting the slides and protocols will be available for study in the microscope room in the Manchester Grand Hyatt (Betsy A-C) for participants who wish to review them prior to the evening session.

Handouts for all Specialty Conferences will be accessible via the "Educational Materials" section on the homepage the morning after each respective conference. Printed copies of the handout will not be available at the meeting. However, we will provide a booklet at the meeting which will have a page for each Specialty Conference, listing the names of speakers and space for the important "take home messages".