@RACARR51 Right well I'm going to have to create a bluesky account now!

@RACARR51 Common things being common when in India (happened to my wife as well)! A local trick I learnt was to rub coconut oil on exposed skin- apparently the mosquitos won't bite you since they don't want a mouth full of coconut oil!

@Path4People Fibroepithelioma of Pinkus!

@Ba_P10 @DrGeeONE @ENT_Path @SumantaDas_7 @pathtweet NK/T cell lymphomas of nasal type are also cd56 positive

@RACARR51 Due to the acantholysis and eyeliner sign I favour SCC out of all the spindle cell malignancies

@RACARR51 Molloscum bodies?

@RACARR51 Must be amyloidosis

@RACARR51 I favour verruca plana. A lot of sun damage in the background

@RACARR51 Favour proliferative KA but waiting for p16&p53

@RACARR51 Acral skin. Slight increase in non-atypical looking melanocytes with some basal hyperpigmentation of keratinocytes...melanocytic hyperplasia 🤔 I don't think there's any evidence of a regressed lesion 😬

@RACARR51 I'm really bad at doing these without any clinical info 😂

@RACARR51 Follicular porokeratosis and keratin-derived amyloid from a burnt out interface dermatitis

@DanGrahamMD Small round blue cell category tumour, top ddx is MCC, but needs IHC to exclude lymphoma, melanoma, carcinoma

@DanGrahamMD Cribriform pattern adenocarcinoma

@RACARR51 Ferguson smith syndrome? KA, Mosaic p16 and peripheral graded p53. Looks proliferative in one focus. Tons of eosinophils. AD inheritance

@RACARR51 ?eyelid

@kis_lorand Loss of p63/myoeps in papillary fronds and periphery of the lesion. Mainly Loss of ck5/6, strong and diffuse ER.... encapsulated papillary carcinoma

@kis_lorand Metastatic colorectal adenocarcinoma