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Neville and Damm > Dr. Klingman Derm Review Picture Matching > Flashcards

Dr. Klingman Derm Review Picture Matching Flashcards

(51 cards)

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1
Q
A

TrichiLemmoma

“lemmings” falling off surface

well defined

some palisading

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2
Q
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TrichoFolliculoma

  • Central cystic follicle
  • NOT attached to surface
  • whorled / collagenized stroma
  • lace-like network between follicles
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3
Q
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TrichoFolliculoma

Central cystic follicle

NOT attached to surface

whorled / collagenized stroma

lace-like network between follicles

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4
Q
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TrichoEpithelioma

Close to surface

Look for epidermoid cysts

look for papillary mesenchymal bodies (bulb structures)

Can look like BCC or blastoma, lack the BCC stroma / retraction artifact

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5
Q
A

TrichoEpithelioma

Close to surface

Look for epidermoid cysts

look for papillary mesenchymal bodies (bulb structures)

Can look like BCC or blastoma, lack the BCC stroma / retraction artifact

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6
Q
A

TrichoEpithelioma

Close to surface

Look for epidermoid cysts

look for papillary mesenchymal bodies (bulb structures)

Can look like BCC or blastoma, lack the BCC stroma / retraction artifact

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7
Q
A

TrichoEpithelioma

Close to surface

Look for epidermoid cysts

look for papillary mesenchymal bodies (bulb structures)

Can look like BCC or blastoma, lack the BCC stroma / retraction artifact

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8
Q
A

TrichoEpithelioma

Close to surface

Look for epidermoid cysts

look for papillary mesenchymal bodies (bulb structures)

Can look like BCC or blastoma, lack the BCC stroma / retraction artifact

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9
Q
A

TrichoEpithelioma

Close to surface

Look for epidermoid cysts

look for papillary mesenchymal bodies (bulb structures)

Can look like BCC or blastoma, lack the BCC stroma / retraction artifact

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10
Q
A

Pilomatrixoma

Ghost cells / calcifications

young patients (under 20 y/o)

Giant cells (esp rupture)

Can transform into pilomatrixocarcioma

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11
Q
A

TrichoBlastoma

Blast = blue and more primitive

Low power looks like BCC

Symmetrical, uniform

Lacks retention artifact

can have pigment (hair)

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12
Q
A

Cholesteatoma

epidermoid cyst of the ear

usually rupture, giant cells

calcifications

granular cell layer

potential hearing loss, aggressive benign

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13
Q
A

Steatocystoma

epidermal inclusion cyst with basal palisaiding

looks like an OKC

Sebaceous elements in the wall or cyst lining

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14
Q
A

Nevus sebaceous

should be attached to an isthmus

can have a SK look in epi

beware of sebacous BCCs

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15
Q
A

Sebaceous Hyperplasia (Adenoma)

Middle age

nose, cheek, midface

some atypia allowed

worry when atypia is in an EYE lesion

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16
Q
A

Sebaceous carcinoma

usually around the EYE

lots of atypia

pigment

Muir-Torre Syndrome

Ghost cells possible

Camedo necrosis

IHC: EMA, AR

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17
Q
A

Sebaceous carcinoma

usually around the EYE

lots of atypia

pigment

Muir-Torre Syndrome

Ghost cells possible

Camedo necrosis

IHC: EMA, AR

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18
Q
A

Eccrine hidrocystoma

usually from around the conjunctiva

cuboidal lining = eccrine

columnar = apocrine

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19
Q
A

apocrine hidrocystoma

(these can just be signed out as hidrocystoma)

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20
Q
A

Poroma

DDx: trichelemmoma, Plexiform SK, BCC, hidradenoma

Attached to surface

Plexiform

Very uniform bland “poroid” cells

Will NOT form CYST like spaces (like a hidradenoma does)

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21
Q
Study These Flashcards
A

Poroma

DDx: trichelemmoma, Plexiform SK, BCC, hidradenoma

Attached to surface

Plexiform

Very uniform bland “poroid” cells

Will NOT form CYST like spaces (like a hidradenoma does)

22
Q
Study These Flashcards
A

Hidradenoma (eccrine acrosporoma)

looks like a poroma, just not attached to the surface

can be cup shaped like a KA, but bland cells

Optically clear, very round nuclei

tumor budding allowed

slit like “cracking” spaces

23
Q
Study These Flashcards
A

Hidradenoma (eccrine acrosporoma)

looks like a poroma, just not attached to the surface

can be cup shaped like a KA, but bland cells

Optically clear, very round nuclei

tumor budding allowed

slit like “cracking” spaces

24
Q
Study These Flashcards
A

Hidradenoma (eccrine acrosporoma)

looks like a poroma, just not attached to the surface

can be cup shaped like a KA, but bland cells

Optically clear, very round nuclei

tumor budding allowed

slit like “cracking” spaces, cyst-like

Hyalinization

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Hidradenoma (eccrine acrosporoma) looks like a poroma, just not attached to the surface can be cup shaped like a KA, but bland cells Optically clear, very round nuclei tumor budding allowed slit like "cracking" spaces, cyst-like Hyalinization
26
Hidradenoma (eccrine acrosporoma) looks like a poroma, just not attached to the surface can be cup shaped like a KA, but bland cells Optically clear, very round nuclei tumor budding allowed slit like "cracking" spaces, cyst-like Hyalinization
27
Hidradenoma (eccrine acrosporoma) looks like a poroma, just not attached to the surface can be cup shaped like a KA, but bland cells Optically clear, very round nuclei tumor budding allowed slit like "cracking" spaces, cyst-like Hyalinization
28
Spiradenoma THINK LYMPHOCYTES! (inflammatory component is a defining feature) NOT attached to surface very blue eccrine in origin hyalinized product tiny glands/lumina (basal cell adenoma look) plexiform
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Spiradenoma THINK LYMPHOCYTES! (inflammatory component is a defining feature) NOT attached to surface very blue eccrine in origin hyalinized product tiny glands/lumina (basal cell adenoma look) plexiform
30
Spiradenoma THINK LYMPHOCYTES! (inflammatory component is a defining feature) NOT attached to surface very blue eccrine in origin hyalinized product tiny glands/lumina (basal cell adenoma look) plexiform
31
Spiradenoma THINK LYMPHOCYTES! (inflammatory component is a defining feature) NOT attached to surface very blue eccrine in origin hyalinized product tiny glands/lumina (basal cell adenoma look) plexiform
32
Cylindroma NO inflammatory component (unlike the spiradenoma) very basaloid islands mon JIGSAW pattern not clear cells, just hyalinized
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Cylindroma NO inflammatory component (unlike the spiradenoma) very basaloid islands mon JIGSAW pattern not clear cells, just hyalinized
34
Syringoma FISHTAILS / TADPOLE pattern can look like a MAC (microcystic adnexal carcinoma) not a nicely "packaged" lesion islands/nests that "fishtail" off like hair pulp formation
35
Syringoma FISHTAILS / TADPOLE pattern can look like a MAC (microcystic adnexal carcinoma) not a nicely "packaged" lesion islands/nests that "fishtail" off like hair pulp formation with cystic spaces
36
eccrine adenocarcnoma
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eccrine adenocarcinoma
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apocrine hidrocystoma
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apocrine hydrocystoma
40
tubular apocrine adenoma like a cystadenoma in salivary tissue = multi compartments
41
hidroadenoma papilliferum (HPAP) hard to distinguish from SPAP papillary fronds histiocytic / lymphocytic stroma looks like a ductal papilloma of salivary tissue lumen snouting, apocrine / holocrine secretions
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hidroadenoma papilliferum (HPAP) hard to distinguish from SPAP papillary fronds histiocytic / lymphocytic stroma looks like a ductal papilloma of salivary tissue lumen snouting, apocrine / holocrine secretions
43
hidroadenoma papilliferum (HPAP) hard to distinguish from SPAP papillary fronds histiocytic / lymphocytic stroma looks like a ductal papilloma of salivary tissue lumen snouting, apocrine / holocrine secretions
44
hidroadenoma papilliferum (HPAP) hard to distinguish from SPAP papillary fronds histiocytic / lymphocytic stroma looks like a ductal papilloma of salivary tissue lumen snouting, apocrine / holocrine secretions
45
hidroadenoma papilliferum (HPAP) hard to distinguish from SPAP papillary fronds histiocytic / lymphocytic stroma looks like a ductal papilloma of salivary tissue lumen snouting, apocrine / holocrine secretions
46
Syringocystadenoma papilliferum (SPAP) Plasma cells, lymphocytes in fibrovascular core stroma Myoepithelial layer (may appear double layered Growth into lumen Can be connected to surface ("project from opening" in surface) microcysts within the lining
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Syringocystadenoma papilliferum (SPAP) Plasma cells, lymphocytes in fibrovascular core stroma Myoepithelial layer (may appear double layered Growth into lumen Can be connected to surface ("project from opening" in surface) microcysts within the lining
48
Syringocystadenoma papilliferum (SPAP) Plasma cells, lymphocytes in fibrovascular core stroma Myoepithelial layer (may appear double layered Growth into lumen Can be connected to surface ("project from opening" in surface) microcysts within the lining
49
Benign mixed tumor (Chondroid Syringoma)
50
Chondroid syringoma
51
Neurothekeoma (Nerve Sheath Myxoma)

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