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case of the
month
2023

COTM NOV/DEC 2023

Case Credit- Haizal Hussaini (University of Otago, New Zealand)

CLINICAL DETAILS

 

A 68 year old female patient presented with a firm, submucosal lesion involving the right soft palate.

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An incisional biopsy was done and the tissue sent for histopathological examination.

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(click on link below)

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  Whole Slide Histology Image (H&E)

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COTM SEP/OCT 2023

Case Credit- Paul Hankinson, Dan Brierley (Sheffield)

CLINICAL DETAILS

 

A 47 year old male patient presented with a swelling in the upper right gingivae. This mass had been present for six years following extraction of the upper right second premolar tooth. A radiolucency had also been present in the maxilla since this extraction. This patient is fit and well and does not smoke.

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An incisional biopsy was done and the tissue sent for histopathological examination.

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(click on link below)

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  Whole Slide Histology Image (H&E)

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Scroll to the right for details and diagnosis.

       

COTM JULY/AUGUST 2023

Case Credit- Paul Hankinson, Hannah Walsh, Mollie Clark, Ali Khurram (Sheffield)

CLINICAL DETAILS

 

A female patient presented with multiple episodes of mucosal lesions. On examination there were widespread oral ulcers, mucosal fragility and lip crusting. The patient also had a recent history of skin lesions with blisters involving the legs, back and neck. Some of these lesions had a targetoid appearance. There was also a previous history suggestive of Stephen Johnson Syndrome.

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Biopsies were done (including a fresh sample) and sent for histopathological examination.

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  Whole Slide Histology Image (Fixed H&E)

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  Whole Slide Histology Image (Frozen fixed H&E)

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COTM MAY/JUNE 2023

Case Credit- Dan Brierley, India Stephens-Laborde (Sheffield)

CLINICAL DETAILS

 

A male patient in his 60s presented a large ulcerated mass extending from the right buccal mucosa to the midline of the hard and soft palate. The clinical impression was that of a squamous cell carcinoma. CT and MRI imaging shows a large lobulated mass involving the right maxillary antrum, nose, ethmoid sinuses, infratemporal fossa, pterygoid and masseter muscles and the right orbit. No intracranial extension was seen.

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The lesion was biopsied and sent for histopathological examination.

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(click on link below)

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  Whole Slide Histology Image (H&E)

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COTM MARCH/APRIL 2023

Case Credit- Ali Khurram, Paul Hankinson (Sheffield)

CLINICAL DETAILS

 

A 12 year old male presented with an unerupted lower left canine. A cone beat CT showed an unerupted canine with a large cystic space surrounding the crown of the unerupted canine. The cystic space was largely radiolucent but contained soem well-formed tooth like radi-opaque structures.  

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The cystic lesion was sent for histopathological examination.

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(click on link below)

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  Whole Slide Histology Image (H&E)

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Scroll to the right for details and diagnosis.

       

COTM JANUARY/February 2023

Case Credit- Ali Khurram, Paul Hankinson (Sheffield)

CLINICAL DETAILS

 

A 75 year old female patient presented with an asymptomatic neck lump involving the left level of the neck. Clinical examination, CT and PE imaging showed a well defined 4 cm cystic lesion in the left level II with no evidence of activity on PET imaging. The differential diagnosis included a branchial cleft cyst or a cystic lymph node. 

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An ultrasound guided core biopsy was done and the tissue sent for histopathological examination.

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(click on link below)

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  Whole Slide Histology Image (H&E)

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Scroll to the right for details and diagnosis.

       

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