RAC9358. M40s Bilateral giant pigmented lesion. Biopsy from chest. #Dermpath @rishiagrawal.bsky.social

RAC9356. M60s. Re-excision of thin melanoma (7 weeks from prior excision). What's going on? @rishiagrawal.bsky.social #dermpath

RAC9355 F60s. Lower back. ?BCC for opinions please. Also what type of giant cell? @rishiagrawal.bsky.social #Dermpath

RAC9352. M70s. Cheek. BCC excised. Adjacent lesion. #dermpath @iyengarish.bsky.social

RAC9342: M70s Base of thumb. SCC excision. @rishiagrawal.bsky.social #dermpath

RAC9339. M50 ish. Nasal bride. Started as a spot. Grew to nodule centrally keratotic, shaved at 13 weeks. Clin photo at 7wks. @rishiagrawal.bsky.social #Dermpath

RAC9338: Spot Diagnosis @rishiagrawal.bsky.social #Dermpath PLEASE DISCUSS

My Copy I have given away at least 20 of these to smokers or their spouse. Best Book ever on Quitting Here is his son @racarr51.bsky.social...

I mentioned your hilarious post to Robin (CEO, Easyway) & perhaps you read the apparently hilarious self-help spoof book he knew about:

Brilliant & well done. Funny thing though it really is EASY to stop if you know psychological aspect. Physical addiction is minimal (no cold turkey). Cunning trick : smokers believe +/- they enjoy & / or r hopelessly addicted. My dad's book explains all (I'm a doctor BTW - don't get royalties😇).

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😇