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In this section we have Logan's cases since June 2010, now over 4000! You can review the archived cases and read the suggested diagnoses by users and the final comment by the contributors.

Keratoacanthoma, contentious


Operations Pathhub

Case 1127  17.10.14 (R. Carr)  M 60 nose ?KA/SCC (nor resolving after 2 months) 

KA features:  symmetry; rounded base; stops at sweat glands; no desmoplasia; inflammatory reaction with PMN’s and eos; adenomatoid sweat coil transformation 

SCC features missing: pushing borders; acantholysis; follicular mucin; asymmetry; solid areas without maturation. 

 

Case 2767  12.2.21 (R. Carr) M 50 cheek nodule 4 weeks. 

I scored 7/32; RC 4.5/32 – i.e. equivocalToo much elastic entrapment for IFK/seb k.  Location and rapid growth suggest KAUncertain final diagnosisLow-risk lesion not requiring long-term 2ry care follow-up. 

RC has stopped including elastic entrapment in his scoring system, except where  differential includes reactive pseudoepitheliomatous hyperplasia v's invasive lesion. 

 


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