Question

General Hospital

1511 Ninth Avenue Sun City, USA, 12345 [phone]

Date April 14, 20xx Pathology: 43022 Patient Franks, Robert Room 910 Physician Dante Riox,

MD Specimen: Skin from (a) dorsum left wrist and (b) left forearm, ulnar area, near elbow.

Clinical Diagnosis: Bowen disease versus basal cell carcinoma versus dermatitis.

Microscopic Description: (a) There is mild hyperkeratosis and moderate epidermal hyperplasia with full-thickness atypia of squamous keratinocytes. Squamatization of the basal cell layer exists. A lymphocytic inflammatory infiltrate is present in the papillary dermis. Solar elastosis is present. (b) Nests, strands, and columns of atypical neoplastic basaloid keratinocytes grow down from the epidermis into the underlying dermis. Fibroplasia is present. Solar elastosis is noted. Pathologic Diagnosis: (a) Bowen disease of left wrist; (b) nodular and infiltrating basal cell carcinoma of left forearm, near elbow. Samantha Roberts, MD sr:bg

Define all the Highlighted terms: AND Answer these Questions:

1. In the specimen section, what does "skin on dorsum left wrist" mean? ________________________________________________________________

2. What types of cells made up the inflammatory infiltrate? ________________________________________________________________

3. What was the pathologist's diagnosis for the left forearm (look at pathologic diagnosis)? ________________________________________________________________

4. Provide a brief description of Bowen disease, the pathologist's diagnosis for the left wrist. ________________________________________________________________