Sampling of Interesting Dermatopathology Cases From CUMC-1

7/29/2019 Sampling of Interesting Dermatopathology Cases From CUMC-1

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Sampling of interesting

Dermatopathology cases from

CUMC-1

Deba P Sarma, MD

Director of Dermatopathology

Creighton University Medical Center

Dept of Pathology, Omaha


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F 55, obese

4-month history of hemorrhagicdischarge from the umbilicus

8-mm dark mass frombase of the umbilicus

Case 1


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Diagnosis: Lint ball omphalitis

Ref:

Sarma DP, Teruya B (2009). Lint ballomhphalitis, a rare cause of umbilicaldischarge in an adult woman: a casereport. Cases J 2: 7785.PMID 19830013

Steinhauser G (2009). The nature of navelfluff. Med Hypotheses. 72(6):623-5.


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M 50

Possible pilar cyst removed from scalp.

Case 2


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RCC

Immunostain


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Implantation carcinoma of the scalp from renal

cell carcinoma

Ref:Sarma DP, Wang JF, McAllister MV, WangB, Shehan JM. (2008) Possible implantation

carcinoma of the scalp following craniotomyfor metastatic renal cell carcinoma.Dermatology Online J 14(6):20.

Diagnosis:


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M 44, of Chinese heritage had red palmssince birth

Mother (74 yrs) and daughter(7 yrs) hadbright red palms all their life

Case 3


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Erythema palmare hereditarium

(Red palm disease, Lanes disease)

Ref:

Sarma DP, Wang B (2007). Erythemapalmare hereditarium (Red palms): Lanes

Disease. Dermatol Online J. 13(2).

Lane JE.(1929). Erythema palmare

hereditarium. Arch Derm Syph. 20:445-448.

Diagnosis


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M 58, left knee dislocation with

neurovascular injury, 1968.

Left below the knee amputation, fitted with

an artificial leg.

36 years later (2004), pain at the amputation

site, mass, foul discharge.

Case 4


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Verrucous carcinoma in the amputation stump

Ref:Sarma DP, Hansen TP, Adickes ED(2006):

Carcinoma arising in the leg amputation

stump. The Internet J Dermatol 4(1).

Diagnosis


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Sarma DP, Weilbaecher TG.(1985))Carcinoma arising in burn scar. J SurgOncol. 29(2):89-90.

M 60, left BK amputation 30 years ago after

a dynamite explosion injury.

Artificial leg since then.

Developed squamous cell carcinoma on theamputation stump 30 years later.


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F 32

5 mm, painless subareolar nodule, left breast

Case 5


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Diagnosis:

Infiltrating syringomatous eccrine

adenoma of the nipple

Ref:

Sarma D, Stevens T (2009). Infiltrating

syringomatous eccrine adenoma of thenipple: a case report. Cases J 2:0118.


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Case 6

F 83, 7-mm painless soft papule, left cheek,

present for few months

Clinical: Lipoma


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CK 20 Chromogranin Synaptophysin


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Diagnosis:

Subcutaneous Merkel cell carcinoma


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Case 7

F 81

Raised hyperkeratotic lesion, left temple,

clinical sk


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Ref:

Sharma P, Sarma DP, Adickes ED (2006).

Seborrheic keratosis with in-situ carcinoma

changes. Dermatology Online J 12(7):19

Diagnosis:

Malignant seborrheic keratosis


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Case 8

M 86, back, clinical seborrheic keratosis


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MITF


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Diagnosis:

Melanoma in-situ arising in seborrheickeratosis

Ref:

Repertinger S, Wang J, Adickes E, Sarma

DP. (2008). Melanoma in-situ arising inseborrheic keratosis: a case report. Cases J

1 (1):263.


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Case 9

M 72, farmer, sheep handler, left wrist

crusted nodule, 0.9 cm.


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Diagnosis: Human orf

( Ecthyma contagiosum,

Contagious pustular

dermatosis)


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Three skin biopsies from the face of three

men (age: 55-67yrs)

Case 10


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Winer L H.(1954). The dilated pore, a

trichoepithelioma. J Invest Dermatol 23(3):181-

188.

Sarma Deba P.(2009): Dilated Pore of Winer, Dr.

Louis H Winer and Wine Glass. The Internet

Journal of Dermatology Vol 7(2).

Ref

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Sampling of Interesting Dermatopathology Cases From CUMC-1