This website uses cookies to allow us to see how the site is used. The cookies cannot identify you. If you continue to use this site we will assume that you are happy with this.
If you would like to know more, you can view our privacy statement here.

Close
Teaching

British Society for Dermatopathology Self Assessment

4th Self Assessment Course 4 July 2016







BSD2016 1

Male 36 years

Recent onset of a 3.0x2.0cm brown macule on the left scalp.

The best diagnosis is:

A. Lentigo maligna

B. Lichen planus pigmentosus

C. Melanotic lupus

D. Pigmented actinic keratosis





H&E
343552


Open Slide with:
Website | Desktop

BSD2016 2

Female 49 years

The best diagnosis is:

A. Chromomycosis

B. Cutaneous T-cell lymphoma

C. Hypertrophic lupus

D. Squamous cell carcinoma





H&E
343553


Open Slide with:
Website | Desktop

BSD2016 3

Male 40 years

Erythematous plaque on the nose.

The best diagnosis is:

A. Fibrous papule

B. Hemangioma

C. Spindle cell lipoma

D. Melanoma





H&E
343555


Open Slide with:
Website | Desktop

BSD2016 4

Female 6 years

Widespread blistering and oral ulcerations.

The best diagnosis is:

A. Bullous pemphigoid

B. Epidermolysis bullosa acquisita

C. Chronic bullous disease of childhood

D. Porphyria





H&E
343556


Open Slide with:
Website | Desktop

BSD2016 5

Female 89 years

4cm slowly growing light brown plaque-like lesion with ill-defined margins on the mid-back. Excision biopsy.

The best diagnosis is:

A. Dermatofibroma

B. Keloid scar

C. Dermatofibrosarcoma protuberans

D. Dermatomyofibroma





H&E
343557


Open Slide with:
Website | Desktop

BSD2016 6

Female 62 years

Vulvar pruritis for several months not responding to local treatments. Punch biopsy.

The best diagnosis is:

A. Lichen planus

B. Vulval candidiasis

C. Zoon's vulvitis

D. Vulval intra-epithelial neoplasia





H&E
343561


Open Slide with:
Website | Desktop

BSD2016 7

Male 80 years

Weakness, fatigue and weight loss. Focal ulceration left ankle. Punch biopsy.

The best diagnosis is:

A. Cutaneous vasculitis

B. Cutaneous amyloid

C. Cryoglobulinaemia

D. Venous ulceration





H&E
343562


Open Slide with:
Website | Desktop

BSD2016 8

Male 75 years

Several vascular cutaneous nodules of short duration. Lesion excised from occipital scalp. Excision biopsy ?Angioma.

The best diagnosis is:

A. Metastatic renal cell carcinoma

B. Pyogenic granuloma

C. Angiolymphoid hyperplasia (with eosinophils)

D. Epithelioid angiomatous nodule





H&E
343563


Open Slide with:
Website | Desktop

BSD2016 9

Male 32 years

Hyperpigmented rash non-scaling for several years. Skin type 6. ?CTCL ?Post-inflammatory hyperpigmentation ?pigmentation only. Punch biopsy abdomen.

The best diagnosis is:

A. Necrolytic migratory erythema.

B. Epidermodysplasia verruciformis.

C. Epidermal naevus.

D. Scurvy





H&E
343564


Open Slide with:
Website | Desktop

BSD2016 10

Female 13 days

"Blisters". Biopsy from the left thigh.

The best diagnosis is:

A. Langerhans cell histiocytosis

B. Urticaria pigmentosa

C. Incontinentia pigmenti

D. Bullous congenital ichthyosiform erythroderma





H&E
343565


Open Slide with:
Website | Desktop

BSD2016 11

Female 47 years

Rash and multiple nodes ?lymphoma. Punch biopsy from the skin of the pre-auricular area and enlarged neck lymph node.

The best diagnosis is:

A. Lupus and lupus lymphadenitis

B. Lymphoma and paraneoplastic pemphigus

C. Kikuchi's disease

D.Atypical mycobacterial infection





H&E
343583


Open Slide with:
Website | Desktop

H&E
343568


Open Slide with:
Website | Desktop

BSD2016 12

Female 4 months

Six week H/O rash. Tiny erythematous macules, papulovesicles, crusted, flattening, all areas affected, a few lesions in total. All less than 10mm in diameter. Initial differential diagnosis ?Histiocytosis. All elements seems to be resolving. Punch biopsy right upper arm.

The best diagnosis is:

A. Langerhans cell histiocytosis

B. Incontinentia pigmenti

C. Eosinophilic pustular folliculitis of infancy

D. Atypical mycobacterial infection





H&E
343569


Open Slide with:
Website | Desktop

BSD2016 13

Male 34 years

'Skin tag' thigh. Shave excision.

The best diagnosis is:

A. Spitz naevus

B. Epithelioid fibrous histiocytoma

C. Dermatofibroma

D. Epithelioid perineurioma





H&E
343570


Open Slide with:
Website | Desktop

BSD2016 14

Male 79 years

Pigmented lesion noted within the field of previous radiotherapy for basal cell carcinoma (previous year), left shoulder. Incisional biopsy.

The best diagnosis is:

A. Haemosiderin deposition following radiotherapy

B. Tumoral melanosis derived from regressed basal cell carcinoma

C. Tumoral melanosis derived from regressed malignant melanoma

D. Tumoral melanosis derived from regressed melanocytic lesion of uncertain nature





H&E
343572


Open Slide with:
Website | Desktop

BSD2016 15

Male 85 years

Crusty 1cm lesion vertex of scalp ?SCC ?AK. Excision.

The best diagnosis is:

A. Desmoplastic melanoma

B. Pleomorphic cutaneous sarcoma

C. Spindle cell carcinoma

D. Leiomyosarcoma





H&E
343573


Open Slide with:
Website | Desktop

BSD2016 16

Female 50 years

Previous blistering, now marked milia on dorsum of hands. 4mm punch biopsies.

The best diagnosis is:

A. Bullous lupus

B. Porpyhria cutanea tarda

C. Epidermolysis bullosa acquisita

D. Pseudoporphyria





H&E
343574


Open Slide with:
Website | Desktop

H&E
343575


Open Slide with:
Website | Desktop

BSD2016 17

Female 69 years

Nodule right upper eyelid ?BCC.

The best diagnosis is:

A. Metastatic carcinoid tumour

B. Hidradenoma

C. Endocrine mucin-producing sweat duct carcinoma

D. Mixed tumour of skin





H&E
343576


Open Slide with:
Website | Desktop

BSD2016 18

Female 75 years

Persistent ulcer and indurated lesion ankle.

The best diagnosis is:

A. Verrucous squamous cell carcinoma

B. Atypical mycobacterial infection

C. Pyoderma gangrenosum

D. Hypertrophic lichen planus





H&E
343577


Open Slide with:
Website | Desktop

BSD2016 19

Female 61 years

Nodule on DIP joint index finger.

The best diagnosis is:

A. Focal cutaneous mucinosis

B. Digital myxoid cyst

C. Myxoid neurofibroma

D. Superficial angiomyxoma





H&E
343584


Open Slide with:
Website | Desktop

BSD2016 20

Male 60 years

15 year history of ulcers and cysts on trunk which appear and resolve.

The best diagnosis is:

A. Sweet's syndrome

B. Atypical mycobacterial infection

C. Superficial granulomatous pyoderma gangrenosum

D. Hidradenitis suppurativa





H&E
343525


Open Slide with:
Website | Desktop

BSD2016 21

Male 2 years

New lesion back of distal left 3rd toe, 6/12 history. Biopsy from left 3rd toe.

The best diagnosis is:

A. Infantile digital fibromatosis.

B. Superficial acral fibromyxoma

C. Pilar leiomyoma

D. Myofibroma





H&E
343528


Open Slide with:
Website | Desktop

BSD2016 22

Male 83 years

Ulcerated SCC left forehead. Biopsy from left forehead.

The best diagnosis is:

A. Myxoid atypical fibroxanthoma

B. Myxoid malignant melanoma

C. Myxofibrosarcoma

D. Mucinous carcinoma





H&E
343530


Open Slide with:
Website | Desktop

BSD2016 23

Female 52 years

Skin tag removed from scalp. Biopsy scalp.

The best diagnosis is:

A. Digital mucous cyst

B. Nerve sheath myxoma

C. Superficial angiomyxoma

D. Myxoid neurofibroma





H&E
343531


Open Slide with:
Website | Desktop

BSD2016 24

Male 61 years

Multiple indurated subcutaneous plaques over legs and arms. History of ALL. Bone marrow transplant January 2012.

The best diagnosis is:

A. Alpha 1 antitrypsin deficiency

B. Erysipelas

C. Suppurative erythema nodosum

D. Atypical mycobacterial infection





H&E
343532


Open Slide with:
Website | Desktop

BSD2016 25

Female 81 years

4 month history of malaise and erythrosquamous photosentitive eruption NH lyphoma 20 yrs ago. Biopsy from left arm.

The best diagnosis is:

A. Dermatomyositis

B. Lichenoid drug eruption

C. Lupus erythematosus

D. Cutaneous lymphoma





H&E
343533


Open Slide with:
Website | Desktop

BSD2016 26

Female 56 years

Sri Lankan lady with worsening facial eruption - swelling but last travelled home 2004.

The best diagnosis is:

A. Sarcoidosis

B. Leismaniasis

C. Tuberculosis

D. Leprosy





H&E
343534


Open Slide with:
Website | Desktop

BSD2016 27

Female 42 years

Painful nodule with intermittent swelling.

The best diagnosis is:

A. Pyogenic granuloma

B. Metastatic adenocarcinoma (Sister Joseph nodule)

C. Endometriosis

D. Granulation tissue





H&E
343535


Open Slide with:
Website | Desktop

BSD2016 28

Male 44 years

Recent flare of widespread eroded 1-2cm lesions trunk and limbs some necrotic and sore. CD 30+ CD 8 + but CD15 - and ALK1 -.

The best diagnosis is:

A. CTCL - MF type

B. Lyp- type A

C. Lyp - type D

D. CTCL - MF tumour transformed





H&E
343536


Open Slide with:
Website | Desktop

BSD2016 29

Female 26 years

6 weeks history of distal subungual lesion on right big toe.

The best diagnosis is:

A. Osteogenic sarcoma

B. Osteoma Cutis

C. Cutaneous Ossification

D. Exostosis





H&E
343537


Open Slide with:
Website | Desktop

BSD2016 30

Female 78 years

Red rash appeared -legs/thighs/axillae, granulomatous appearance. ? Cutaneous Sarcoidosis.

The best diagnosis is:

A. Diffuse granuloma annulare

B. Necrobiosis lipodica

C. Rheumatoid nodule

D. Actinic granuloma





H&E
343538


Open Slide with:
Website | Desktop

BSD2016 31

Sex unknown age unknown

Punch biopsy right cheek- ? BCC.

The best diagnosis is:

A. Epithelioid haemangioma

B. Insect bite reaction

C. Granuloma faciale

D. Langerhan cell proliferative disorders





H&E
343539


Open Slide with:
Website | Desktop

BSD2016 32

Female 81 years

Lesion on scalp.

The best diagnosis is:

A. Syringoid eccrine carcinoma

B. Microcystic adnexal carcinoma

C. Adenoid cystic carcinoma

D. Morphoeic basal cell carcinoma





H&E
343540


Open Slide with:
Website | Desktop

BSD2016 33

Female 11 weeks

Congenital lesion anterior chest 4 x 6 cm with central blistering. Nil elsewhere.

The best diagnosis is:

A. Mastocytoma

B. Epidermolytic epidermal naevus

C. Congenital reticulohistiocytosis

D. Congenital Melanocytic naevus





H&E
343541


Open Slide with:
Website | Desktop

BSD2016 34

Female 68 years

Flu-like illness for 10 days. Widespread erythematous rash. Vesiculobullous with some larger indurated nodules.

The best diagnosis is:

A. Erythema multiforme

B. Sweet's disease

C. Bullous pemphigoid

D. Cutaneous vasculitis





H&E
343542


Open Slide with:
Website | Desktop

BSD2016 35

Female 68 years

Rash for 2 weeks. Smooth purple lesions over whole body. Asymptomatic. Admitted with proximal myalgia and temperature.

The best diagnosis is:

A. Lobular carcinoma

B. Myeloid leukaemia

C. Melanoma

D. Lymphoblastic leukaemia





H&E
343543


Open Slide with:
Website | Desktop

BSD2016 36

Male 67 years

Lesion left thigh. Clinically Bowen's disease. Differential diagnosis tinea incognito, insect bite, Leishmaniasis.

The best diagnosis is:

A. Psoriasis

B. Bowen's disease

C. Clear cell acanthoma of Degos

D. Poroma





H&E
343545


Open Slide with:
Website | Desktop

BSD2016 37

Female 65 years

Long standing tumour scalp, catching on hair brush.

The best diagnosis is:

A. Basal cell carcinoma

B. Cylindroma

C. Sebaceoma

D. Sebaceous carcinoma





H&E
343546


Open Slide with:
Website | Desktop

BSD2016 38

Female 42 years

Lightly pigmented plaque right buttock. Previous history of pT1a SSMM left forearm.

The best diagnosis is:

A. Metastatic malignant melanoma

B. Epithelioid haemangioendothelioma

C. Epithelioid fibrous histiocytoma

D. Spitz naevus





H&E
343547


Open Slide with:
Website | Desktop

BSD2016 39

Female 81 years

Previous H/O herpes zoster. Presenting with soft, skin coloured nodules and papules on the back.

The best diagnosis is:

A. Cutaneous macroglobulinosis

B. Amyloidosis

C. Colloid milium

D. Cryoglobulinemia





H&E
343549


Open Slide with:
Website | Desktop

BSD2016 40

Male 41 years

Pigmented lesion back.

The best diagnosis is:

A. Malignant melanoma in situ arising in a pre-existing atypical compound naevus.

B. Recurrent naevus.

C. Malignant melanoma with features of regression.

D. Recurrent malignant melanoma.





H&E
343550


Open Slide with:
Website | Desktop