These pathlets are edutainment. This site collects no information about visitors,
and cannot substitute for your own doctor's care. There are many questions without clear
Concentrate all your thoughts upon the work at hand.
The sun's rays do not burn until brought to a focus.
-- Alexander Graham Bell
She is not currently taking any medications, but is allergic to sulfa drugs.
Past surgical history includes tonsillectomy as child, breast biopsy, followed by lumpectomy
for Ductal Carcinoma in Situ, diagnosed 8 years prior to this office visit. She received post
lumpectomy radiation. Has never had lymph edema in her arm or the local area around the lumpectomy scar.
Vitals: T 98.6 R 13 P 67 BP 129/85.
On physical exam her heart has a RRR without murmurs.
Her lungs are CTAB (clear to auscultation bilaterally)
without wheezes, crackles or rales and no areas dullness on percussion.
The mass is a moderately well demarcated plaque lesion and measures approximately
5.0 x 3.0 cm on the skin surface.
Dr. Path-Guy receives a 3.0 X 1.5 X 1.5 cm piece of
skin and subcutaneous tissue and fat. The skin surface is partially colored blue black
to red; the color extends into the subcutaneous fatty tissue of the specimen also.
The remaining skin is tan, but the specimen is friable with focal areas of hemorrhage.
The specimen is sectioned and representative portions are submitted for processing.
The next day Dr. PathGuy is sitting at his microscope, examining the slide,
a representative picture is provided for your viewing pleasure.
You see inter-anastomosing vascular channels,
some filled with red blood cells; intermingled with solid spindled and plump cuboidal
cells. You consider a variety of tumors. You are welcome to order some immunostains.
When you are done, make your diagnosis.
Infiltrating ductal carcinoma
Infiltrating lobular carcinoma
A few points about angiosarcomas....