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EQA

National Skin EQA circulation O







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O 240

Male 25 years

HIV positive patient. Scattered hypopigmented macules and papules on front of scalp and posterior neck for several years. ?Sarcoidosis. ?Infective aetiology.

Specimen: Skin of right side of neck, punch biopsy.

Macroscopic description:
4mm skin punch biopsy.




H&E 255641


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O 241

Male 70 years

?BCC.

Specimen: Skin left forehead.

Macroscopic description:
Skin ellipse 16x14mm bearing an irregular pale area 8mm diameter.




H&E 255714


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O 242

Female 71 years

Tender nodules on calf.

Specimen: Skin 6mm punch biopsy, calf.




H&E 255715


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O 243

Male 90 years

Lesion left groin - h/o long standing pruritus left groin - ??Squamous cell carcinoma.

Specimen: Skin - Excison lesion Left groin.

Macroscopic description:
Ellipse of skin measuring 60x40mm with underlying tissue to a depth of 3mm. The surface bears an ill-defined, slightly nodular area measuring 22x17mm which lies 8mm from the closest margin.

Immunohistochemistry:
CK7+ve; Focal positivity for GCDFP15 and ER. HER2 -2+. S100, HMB45, PSA, CDX2, TTF1, CK20 all negative.




H&E 255644


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O 244

Male 43 years

Pyrexia, dermal pustular infiltrate face, scalp and neck. ?Sweet's.

Specimen: Skin punch biopsy, scalp.

Macroscopic description:
4mm punch biopsy. All embedded.




H&E 255646


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O 245

Female 97 years



Specimen: Skin lesion on right mandible.

Macroscopic description:
An ellipse of skin 35x25x20mm with a central fleshy nodule 22x16x6mm.

Immunohistochemistry:
H-caldesmon positive. MNF116 negative. P63 negative. S100 negative. SMA negative. Desmin negative.




H&E 255648


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O 246

Male 36 years

Pigmented patch left leg ?Lichen aureus.

Specimen: Punch bx skin.

Macroscopic description:
Punch biopsy 5mm in diameter x3mm deep. Bisected and embedded.

Immunohistochemistry:
Perls' stain positive.




H&E 255651


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O 247

Female 75 years

Infiltrative red plaque covering right eye and lower eyelid, extending to right cheek.

Specimen: Skin incisional biopsy, eyelid.

Macroscopic description:
Ellipse of skin 7x3x3mm.

Immunohistochemistry:
CD31 diffusely positive, factor VIII focally positive.




H&E 255653


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O 248

Male 55 years

Scalp lesion for one year, catches on hairbrush. Occasional bleeding. ?Solid naevus.

Specimen: Skin from scalp, excision.

Macroscopic description:
Single pieces of grey tissue 7x6x3mm. Bisected.




H&E 255654


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O 249

Male 49 years

Asymptomatic macular erythema with papular margin.

Specimen: Skin incisional biopsy, upper arm.

Macroscopic description:
Ellipse of skin measuring 9x5x4mm.




H&E 255659


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O 250 Education and Interest

Male 40 years

Slowly growing plaque on the shoulder.

Specimen: Skin/Shoulder.



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O 251 Education and Interest

Male 48 years

Scar like lesion.

Specimen: Upper trunk.



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O 252 Education and Interest

Sex unknown 66 years

Slowly growing tumour.

Specimen: upper arm.



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O 253 Education and Interest

Female 12 years

?Granuloma Annulare.

Specimen: Lesion from shoulder.



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O 254 Education and Interest

Female 75 years

?Fibrohistiocytoma.

Specimen: Upper arm.



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O 255 Education and Interest

Male

Age 70+. ?scar ?Keloid.

Specimen: Tumour from the face.



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O 256 Education and Interest

Female

Age 70+. Tumour. Face.



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O 257 Education and Interest

Female

Age 70+. Tumour ?BCC. Face.



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O 258 Education and Interest

Sex unknown age unknown

Tumour. Upper back.



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O 259 Education and Interest

Male

Age 70+. Cystic lesion. Temple region.



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O 260 Education and Interest

Female

Age 70+. Tumour ?BCC. Cheek.



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O 261 Education and Interest

Male 50 years

Tumour ?cyst. Buttock.



H&E 255668


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