"All that is Blue is Not Basal Cell Carcinoma" - BCC vs Mimics - Dermpath Dermatology Pathology

[@JMGardnerMD]

Excerpt from "Dermpath Pearls & Pitfalls for General Surgical Pathologists" (full video here: kikoxp.com/posts/6010). A complete organized library of all my videos, digital slides, pics, & sample pathology reports is available here: kikoxp.com/posts/5084 (dermpath) & kikoxp.com/posts/5083 (bone/soft tissue sarcoma pathology).

[@shadana.s.3575]

wonderful teaching points as usual prof. u r an amazing teacher. your efforts are highly appreciated.

[@waelibrahim1961]

One of my favorite topics! Thank you and Happy 4th!

[@thinker-nn9sn]

Thank you very much😊

[@c.rguez7404]

You are just incredible!

[@gonulsaray1416]

You are a great teacher,as always👏💐😍

[@Will-bx4hm]

Hi Dr Gardener, I'm 3 months into my pathology training and one of the pathologists gave us a BCC mimic. At the slide session she said it was not a BCC and gave us back the slide and said try again. After watching your video I'm fairly sure the diagnosis is either a trichoblastoma or eccrine poroma. What would be the key histological features to distinguish the two? The slide looks very similar to your trichoblastoma and eccrine poroma on pathology outlines. Thanks very much for the video and in advance!

[@Will-bx4hm]

Sorry also a follow up question. I would love to hear your opinion on if keratoacanthoma and SCC keratoacanthoma type are distinct clinical entities. Are all keratoacanthoma's SCC's? And are there any other differential diagnoses for a cratering acanthotic skin lesion, I was told these are the only two differentials

[@JMGardnerMD]

Trichoblasoma is more blue, more palisading, has cellular stroma +/- papillary Mesenchymal bodies, usually doesn’t connect to epidermis. Poroma is more eosinophilic usually, has edematous stroma often with inflammation, has ducts, connects to epidermis. I have more videos about both entities. Search my complete organized library of all my videos, digital slides, pics, & sample pathology reports is here: kikoxp.com/posts/5084.

[@JMGardnerMD]

It’s complicated. I think there is KA and then “follicular type” SCC which can be a close mimic of KA. I have a video about this. Search my channel or my Kiko. Richard Carr has done a lot of work about this and has great videos on his channel too.

[@Will-bx4hm]

Thanks very much! The slide was signed off as an eccrine poroma

[@m.k4305]

Hi Dr. Jerad Thank you so much for your great videos. I've learned a lot watching them. I would love to show you a case we had today that we signed out as BCC. Is this possible somehow? P S I'm a pathology resident

[@JMGardnerMD]

You can tweet it and tag me. Or post in McKee derm Facebook group

[@yosratag918]

Please I am interested in pathology, Why you stopped taking cancer cases?

[@JMGardnerMD]

I still see many cancer cases. I just no longer take expert consultation cases, because I am too busy.

[@skiaddict767]

Can I buy your book in Europe?

[@waelibrahim1961]

Hi, is there Amazon in your country??

[@skiaddict767]

@@waelibrahim1961 yes, but the European amazon version doesn't carry the book. Obviously I checked there first.

[@waelibrahim1961]

@@skiaddict767 Aww I see, I didn't know that, sorry...have you tried Innovative Science Press??

[@JMGardnerMD]

Yes! Publisher ships world wide! bit.ly/2Te2haB ‬