Nemi keskellä Malmöä |
Jessie ja Nemi Örebrossa (c) Hans B. |
COMMENT - Note
Histopathology and cytology results can be discussed
Monday to Friday, 11:00 h to 16:00 h.
MACROSCOPY:
Submitted are two skin covered tissue samples;
one measuring 19 x 11 x 3 mm,
the other one 29 x 14 x 11 mm.
HISTOLOGY:
Smaller sample; in several section levels small rather nodular appearing
change within the mid dermis appears which consists ofproliferating
collagen fiber bundles with embedded hyperplastic sebaceous glands,
dilated sweat glands and follicular hyperkeratotic hair follicles.
Surrounding tissue is partly compressed, but otherwise unremarkable.
No significant inflammatory response.
MARGINS:
Complete removal of the small nodule.
Larger sample:
Dermis; expansive growing well-delineated but non-encapsulated mass
starting in the superficial dermis and reaching into the deep dermis
consistent with a multilobular proliferation of well-differentiated
glandular epithelium arranged in groups of cytoplasm with eosinophilic
cells with central monomorphic nuclei surrounded by a thin rim of reserve
cells with very few mitotic figures (less than 1 per ten HPFs).
In between partly large blood-filled spaces with endothelial lining.
In the surrounding tissue some unchanged appearing perianal glandular tissue
observed.
MARGINS:
Complete removal with security margin achieved.
DIAGNOSES:
Smaller sample; fibroadnexal dysplasia.
Larger sample; perianal gland adenoma.
BEHAVIOR:
Both benign.
PROGNOSIS:
Both favorable.
COMMENT:
Fibroadnexal dysplasia is a hamartoma, clinically observed are these
lesions in most cases in the last third of the life span. They are there
already from birth, but it takes some time to develop to visible size.
They can appear multifocally.
Perianal gland adenoma from somewhere near the perianal region in the
female with complete removal as in this case carries an excellent prognosis.
Relapse is not to be expected.
Nemin molemmat patit olivat hyvän laatuisia, marginaali eli poistoalue oli patologin mukaan riittävä eikä niiden pitäisi uusiutua (leikkaus ollut parantava).
Nemin "milloin mä saan sen makkaran" -ilme. |
Kisojen jälkeen ilman selkeennyttyä. Takana häämöttää Animagi-areena. |