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Slide Seminar 12 - Non-melanocytic Skin Tumors
Tuesday, September 19, 2006 08:00 - 12:00
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Moderator:
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Dr. Philip E. LeBoit
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Disclosure:
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In accordance with ACCME guidelines regarding disclosure, the USCAP policy requires that faculty members who have a significant financial or other relationship with a commercial company, entity, or service (which will be discussed in this Symposium) must disclose this to attendees. The Academy also requires that speakers disclose any products that are not labeled for the use under discussion. Faculty members for this Symposium have indicated they have no disclosures to make.
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Clinical histories are displayed below.
Click on the section/case numbers to display the text and references for each case.
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- Folliculosebaceous Proliferations
Submitted by: Timothy McCalmont, M.D.
Case 1-1: 69 year old man, renal transplant, with a one year history of a 2.5 cm ulcerated sessile tumor on the left buttock, excised.
Case 1-1 - Slide 1
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Case 1-2: 53 year old woman with lesion of the right eyebrow.
Case 1-2 - Slide 1
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Case 1-3: 28 year old woman with questionable intradermal melanocytic nevus versus nevus sebaceus.
Case 1-3 - Slide 1
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- Adnexal Tumors
Submitted by: Mark A. Hurt, M.D.
Case 2-1: A Lesson Ethical: Anatomy of Error & of Disclosure
53 year old woman with lesion of the right eyebrow.
Case 2-1 - Slide 1
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Case 2-2: Follicular Neoplasia: Trichoblastoma Versus Trichoblastic Carcinoma (Basal Cell Carcinoma)
28 year old woman with questionable intradermal melanocytic nevus versus nevus sebaceus.
Case 2-2 - Slide 1
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Case 2-3: Sebaceous Gland Neoplasm: Adenoma or Carcinoma?
A 27 year old black woman with a history of a nodular lesion on the scalp for an unknown amount of time. It was removed via several shave biopsies and had a clinical diagnosis of melanocytic lesion vs adnexal tumor.
Case 2-3 - Slide 1
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- Proliferations of Squamous Keratinocytes
Submitted by: Philip E. LeBoit, M.D.
`Case 3-1: Proliferating Follicular-cystic Neoplasm (Proliferating Pilar Tumor)
47-year-old woman with proliferating follicular-cystic neoplasm (also known as proliferating tumour) on left side of forehead.
Case 3-1 - Slide 1
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Case 3-2: Porokeratosis of Mibelli
69-year-old man with porokeratosis of mibelli on right med buttock.
Case 3-2 - Slide 1
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Case 3-3: Desmoplastic Squamous Cell Carcinoma
69-year-old man with desmoplastic cell carcinoma, extending close to the deep margin on left volar forearm.
Case 3-3 - Slide 1
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- Fibrohistiocytic Tumors of Skin
Submitted by: Jennifer M. McNiff, M.D.
Case 4-1: Classic dermatofibroma
A 35-year-old woman presented with a firm papule on her thigh.
Case 4-1 - Slide 1
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Case 4-2: Atrophic dermatofibroma
A 40-year-old man had a small papule on his shoulder.
Case 4-2 - Slide 1
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Case 4-3: Aneurysmal dermatofibroma (sclerosing hemangioma)
A 42-year-old man had a discolored firm nodule on his proximal thigh.
Case 4-3 - Slide 1
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Case 4-4: Deep dermatofibroma
A 36-year-old man had a firm nodule on his back, with a clinical impression of cyst.
Case 4-4 - Slide 1
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Case 4-5: Granular dermatofibroma
A 30-year-old man had a nodule on his back, with a clinical impression of scar.
Case 4-5 - Slide 1
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Case 4-6: Sclerotic fibroma
A 50-year-old woman had a nodule on her abdomen with a clinical impression of nevus.
Case 4-6 - Slide 1
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Case 4-7: Epithelioid cell histiocytoma
A 40-year-old man presented with an exophytic nodule on his foot, with a clinical impression of basal cell carcinoma.
Case 4-7 - Slide 1
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Case 4-8: Dermatomyofibroma
A 32-year-old woman presented with a plaque on her arm, with a clinical impression of dermatofibroma versus mastocytoma.
Case 4-8 - Slide 1
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Case 4-9: Multinucleate cell angiohistiocytoma
A 59-year-old woman presented with a flat papule on the extensor surface of her middle finger.
Case 4-9 - Slide 1
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Case 4-10: Cellular digital fibroma
A 34-year-old woman developed a small firm round papule on her finger, with a clinical impression of wart.
Case 4-10 - Slide 1
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Case 4-11: Fibrous hamartoma of infancy
A one-year-old girl presented with a 3-centimeter plaque on her lower abdomen, with a clinical impression of dermatofibrosarcoma protuberans.
Case 4-11 - Slide 1
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Case 4-12: Infatile digital fibroma
A 9-month-old boy presented with two nodules on his right ring finger.
Case 4-12 - Slide 1
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Case 4-13: Atypical fibroxanthoma
A 79-year-old woman presented with an eroded papule on her cheek, with a clinical impression of squamous cell carcinoma.
Case 4-13 - Slide 1
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Case 4-14: Dermatofibrosarcoma
A 65-year-old woman presented with a 2-centimeter plaque on her left flank.
Case 4-14 - Slide 1
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Case 4-15: Giant cell fibroblastoma/DFSP
A 13-year-old girl presented with a 3-centimeter multinodular tumor in her groin.
Case 4-15 - Slide 1
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- Non-melanocytic Lesions
Submitted by: Dr. Eduoardo Calonje
Case 5-1: Dabska's Tumor (Papillary Intralymphatic Angioendothelioma (PILA))
Female, 35. Recurrent tumour on abdomen. First excision performed in 1999.
Case 5-1 - Slide 1
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Case 5-2: Symplastic Haemangioma
Female, 16. Rapidly growing lesion on right calf.
Case 5-2 - Slide 1
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Case 5-3: Atypical Post-radiation Vascular Lesion
Female, 81. Pleomorphic lobular carcinoma of the left breast in November 1992. Treated with radiotherapy. Ductal carcinoma of the right breast in October 2004. Treated with wide excision. Now, an irregular patch on left breast.
Case 5-3 - Slide 1
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- Non-melanocytic Lesions
Submitted by: Bernhard Zelger, M.D., M.Sc.
Case 6-1: This punch biopsy of a 5 month old female infant comes from a generalized rash with reddish-blue crusted papules. Biopsy site is abdomen.
Case 6-1 - Slide 1
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Case 6-2: This excision biopsy of a 3 year old male infant comes from a generalized rash with yellow-brown macules and plaques of several cm diameter with some cayenne-pepper-like aspects.
Case 6-2 - Slide 1
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Case 6-3: (1 H&E and 1 IHC) This punch biopsy of a 35 year old male comes from several, partially annular macules on the right lower leg. No effect of local antimycotic therapy. Note microorganisms whose exact localization is indicated by cartography; please use your focus at a magnification of 200-400x.
Case 6-3 - Slide 1
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Case 6-3 - Slide 2
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