Dear #Dermpath community. 2025 was an anus horribilis in some ways but I find myself ending 2025 & beginning 2026 with a positive internal mindset. I wish you all well for 2026 and hopefully we will build the dermpath community on this platform to greater levels 😇

RAC9328: F60s >18/12 h/o itchy, erythematous plaque. Incision bx. ?Lichen simplex, ?Lichen amyloidosis, ?lipodermatosclerosis. #Dermpath @rishiagrawal.bsky.social A vine case😇

F60s. Itchy lesion, hyperpigmented area. ?LP ?Eczema ?Morphoea. #Dermpath @rishiagrawal.bsky.social

RAC9326 M90 ish. Ear. Recurrence. Name tumour, sign & stage. #Dermpath @rishiagrawal.bsky.social

RAC9002: M60s. Plantar lesion ?VW ?SCC @rishiagrawal.bsky.social #Dermpath

RAC9321. M70s Dorsum of foot. ?SCC ?Viral Wart. @rishiagrawal.bsky.social #Dermpath

Histopathologists & Dermatopathologists: Do you give completeness of excision on epidermoid cyst removal specimens. If so why? If not why not? Poll on X: x.com/RACARR51/sta...

RAC9313. F50s. Thigh. Skin tag. Basic case #Dermpath

RAC3910 M60s. Dorsal foot warty lesion. ?VW ?SCC.#Dermpath @iyengarish.bsky.social

RAC9309: M80s. Lower back, ?SEBK, shave. H&Ex4 #Dermpath @rishiagrawal.bsky.social

RAC9300. F80 ish. Neck. ?SK ?AK

RAC9306. M80s. Nose. SCC. #dermpath @rishiagrawal.bsky.social

Great to be in Cape Town. Wayne Grayson introducing the XLIV symposium of the ISDP = International Society of Dermatopathology.

RAC9302 M80s Presternum. ?SCC #Dermpath @rishiagrawal.bsky.social

RAC9299 F70s. Mid Upper Chest. #Dermpath @rishiagrawal.bsky.social

Still waiting comment #NeverACyst

RAC9295 M80s Lower abdomen. No history given! #Dermpath @rishiagrawal.bsky.social

RAC9234. Spot diagnosis. #Dermpath

RAC9232 Lab gives you this p53 staining for signing off as control tissue. [M80s Right Cheek. Tumour 47mm diameter. Signed out by myself without IHC as FSCC-some KA-like features]. Comments to lab....??? #Dermpath #Immunohistochemistry

RAC9231 M30s Cyst in the foreskin. #ItsNeverACyst #Dermpath

RAC9229. M70s Sole of foot 5mm pigmented lesion. #Dermpath #HelpWithDiagnosis please.

RAC9226. M80s Face ?wart. #Dermpath

RAC9225: F50s. 20mm, red macular lesion with dilated vasculature on dermoscopy. No significant response to topical steroids. Doubled in size. Diagnostic uncertainty. Exclude BCC / dermal inflammatory reaction/other. PBx 4mm #Dermpath #SpotDiagnosis

RAC9222 M90s. Scalp ?BCC but on excision looks like epidermal cyst. #NeverACyst #Dermpath not for @rishiagrawal.bsky.social (he's seen it)

RAC9920. F 50s. Cheek ?BCC. Spot Diagnosis. #Dermpath If you could only do one stain?

RAC9219: Spot diagnosis #Dermpath

RAC9219: M80 ish. Scalp ?BCC #Dermpath

RAC9217: M80s. Scalp. ?BCC #dermpath

RAC9212: Spot diagnosis. Male 30s Eyelid

RAC9203. F80s. Areas of skin redness left side of vulva. Asked by colleague ?dVIN #Dermpath

International Melanocytic Slide Club associated with UK National Specialist Skin EQA Questionaire & 10 Educational Cases: Thin melanocytic lesions. Please take part & share w colleagues. Respond by 26th May 2025 Meeting Discussion 2/6/2025 forms.cloud.microsoft/e/vceeXWXwLE...

International Melanocytic Slide Club associated with UK National Specialist Skin EQA Questionaire & 10 Educational Cases: Thin melanocytic lesions. Please take part & share w colleagues. Respond by 26th May 2025 Meeting Discussion 2/6/2025 forms.cloud.microsoft/e/vceeXWXwLE...

2025 Apr30 RAC8236 F60s. Rt Forearm ?Dermatofibromata c/o Dr Neil Catterall #Dermpath

Rutlish School 1984. Still in contact with 11 of these prefects- all great friends. We were a comprehensive, all boys, state school (ex-grammar). Our head master was a tremendous character & clearly v proud of his boys. I'm sporting school colours badge (a great honour) & white socks - whoops😇

2025 Apr1 RAC7111. One from the archives. F90 ish. No accurate hx, ?3/12 6mm2 squamoproliferative lesion 6 o'clock to anal margin ?SCC ?other #Dermpath No IHC done.

Lovely boi😍

2025 Mth 3.4 RAC9199 #Dermpath on Kiko kikoxp.com/posts/56286

2025 Mth 3 RAC6518 on Kiko kikoxp.com/posts/56258

#Dermpath Thought for day. Just reported out case from scalp ?SCC. Looked like metastatic renal. Wrote could do IHC if clinical history / imaging studies negative. Checked on system & pl. surgeon mentions known h/o metastatic renal carcinoma in their letter! See Joke 👇Plastic surgeon is best tho 😇

RAC8706: No neuts. Got better with topical treatment. Clinical dx included tinea, acanthosis nigricans and epidermal naevus. Shared with Dieter Metze who said we should publish! I have a lot of cases I never managed to sign off manuscripts on but work-life balance improving😇

2025 Mth 3.2 RAC7470 M60s Penis #Dermpath Last image for those "enjoying" our geopolitical moment! Try not to .....?

2025 Mth3.1 RAC7504 M~50 Nasal bridge. 6/12, superficial ulceration, ?AK ?BCC #Dermpath Suggestions please.

2025: Mth 3: RAC7476 M~90 Scalp lesion, severe sun-damage. #Dermpath I'll await suggestions.

2025 Month 2 RAC7610 M~80 Frontal scalp: ?Pigmented BCC ?Melanoma #Dermpath I'll await suggestions.

RAC8235: M70s Forearm ?SCC. Spot diagnosis c/w Neil Catterall #Dermpath

RAC8260 F70s. Middle finger lesion ?GCT #Bone&SoftTissue

2025 Wk7 RAC9197. F40s. New lesion on breast. #Dermpath

2025 Wk3 RAC3372. M18. Widespread oedematous erythematous rash. One from the archives. I'll post x4 and additional x4. Differential Diagnosis? #Dermpath

www.sciencedirect.com/science/arti... Link to the paper that should help everyone diagnose keratoacanthoma with greater confidence.

2025 Wk3 RAC9003. M70s. Chest 20 mm pedunculated warty lesion, 2y, ?Cancer #Dermpath Still waiting for response to RAC9191 BTW.