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Wednesday, August 25, 2021

08-25-2021-1113 - Acanthoma cyanide triple bond neoplastic pathology carcinoma protein lesion dysplasia LCA shows an intraepidermal proliferation of enlarged, atypical-appearing keratinocytes with a disorganized pattern. natis going back to germany for her cyanide science

Acanthoma

LCA shows an intraepidermal proliferation of enlarged, atypical-appearing keratinocytes with a disorganized pattern.

From: Diagnostic Pathology: Neoplastic Dermatopathology (Second Edition), 2017 

  • Acantholytic and Acantholytic Dyskeratotic Acanthoma

    In Diagnostic Pathology: Neoplastic Dermatopathology (Second Edition), 2017

    Acantholytic Acanthoma

    An acantholytic acanthoma is a solitary keratosis characterized by acantholysis (dyscohesion of keratinocytes) 

    , which is full thickness in this example. There is a lack of dyskeratosis (corp ronds and grains).

    Acantholytic Dyskeratotic Acanthoma

    An acantholytic dyskeratotic acanthoma is a solitary keratosis with acantholysis 

    and dyskeratosis (corp ronds 
    and grains 
    ). The overall architecture is flat and plaque-like.

    Acantholytic Acanthoma

    Intermediate-magnification view of an acantholytic acanthoma shows dyscohesion of keratinocytes (acantholysis) 

    . Dyskeratosis is not prominent.

    Acantholytic Acanthoma

    High-magnification view of an acantholytic acanthoma reveals acantholytic cells that lack cytologic atypia and have pink cytoplasm 

    due to clumped tonofilaments.

    Large Cell Acanthoma

    In Diagnostic Pathology: Neoplastic Dermatopathology (Second Edition), 2017

    Large Cell Acanthoma

    LCA shows an intraepidermal proliferation of enlarged keratinocytes 

    in a disorganized pattern. There is no basilar budding or overlying parakeratosis typical of an actinic keratosis. Note the prominent solar elastosis 
    in dermis.

    Large Cell Acanthoma at High Magnification

    Higher power of LCA shows enlarged keratinocytes 

    involving the mid to upper layers of epidermis with overlying basket-weave orthokeratosis. The dermis shows solar elastosis and mild chronic inflammatory infiltrate 
    .

    Large Cell Acanthoma at Low Magnification

    Another example of LCA shows an intraepidermal proliferation of enlarged squamous cells 

    . There is a lack of basilar budding or overlying parakeratosis typical of actinic keratosis.

    Large Cell Acanthoma at High Magnification

    The cells show nuclear enlargement, hyperchromasia, and focally prominent nucleoli 

    , but no mitotic figures are identified.
    https://www.sciencedirect.com/topics/medicine-and-dentistry/acanthoma


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