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EQA

National Skin EQA circulation AC







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AC 413

Male 73 years

Skin nodule.

Specimen: Skin excision right shoulder.





H&E 488352


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AC 414

Female 72 years

Long standing patches and plaques (several years).

Specimen: Skin upper central back.

Immunohistochemistry:
CD8+, TIA+, granzyme B+, lymphocytes with fewer CD4+ lymphocytes. CD30 and CD56 are negative. EBER is negative. Clonal TCR beta chain rearrangements (V-J1+2 and V-J2) detected by multiplex PCR. No rearrangements of TCR gamma or delta chains were detected.





H&E 488353


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AC 415

Male 68 years

18 month long rash, recent blisters.

Specimen: Itchy rash trunk and limbs.

Direct IMF: Linear IgG and C3.





H&E 488354


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AC 416

Male 76 years

?BCC right ear.

Specimen: Skin right ear.

PAS and Grocott negative for fungi.





H&E 488355


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AC 417

Male 89 years

Warty lesion from penile shaft. Warty polyp measuring 9x8x8mm.

Specimen: Skin shave from penile shaft.





H&E 488376


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AC 418

Male 75 years

Pale wedge of skin measuring 10mmx15mmx5mm with a tan lesion 3mm, showing dimpling.

Specimen: Right lower eyelid.

Immunohistochemistry:
BER-EP4-ve, EMA+ and adipophyllin + in sebocytes. MMR proficient.





H&E 488358


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AC 419

Female 45 years

10mm firm black nodule right scalp.

Specimen: Scalp.





H&E 488359


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AC 420

Female 57 years

Annular plaque - punch biopsy from erythematous rim. ANA+ ENA+ (RO+SSA).

Specimen: 4mm punch biopsy left upper back.





H&E 488360


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AC 421

Female 35 years

Variegated mole ?atypical.

Specimen: Skin from right shoulder.





H&E 488361


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AC 422

Female 45 years

Excision longstanding fibrolipoma. Polypoid skin 14mm in max dimension.

Specimen: Skin left shoulder.

Immunohistochemistry:
Widespread expression of CD34. Desmin, smooth muscle actin, S100, melan-A negative.





H&E 488362


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AC 423 - Digital only case

Female 76 years

Shiny erythematous plaque lower leg, ? Bowens ? Fungal ? Other Inflammatory.

Specimen: Skin Punch Bx lower leg.





H&E 488378


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AC 424 - Digital only case

Female 70 years

? BCC.

Specimen: Excision bx skin right side of nose.

Macroscopic description:
Disc of skin measuring 12x12mm with a lesion measuring 8x7mm.