Overview of diagnostic features of six dermatopathology cases showing slight discrepancies when comparing diagnosis on conventional slides and whole slide digital images
Specimen type | Site | Clinical data | Original diagnosis | Digital diagnosis | Preferred diagnosis |
Biopsy | Vulva | Patient known with differentiated VIN presented recently with hyperkeratosis, premalignant? | Lichen sclerosus | Lichen ruber | Digital |
Biopsy | Toe | Hyperkeratotic papule below the nail of the fourth toe | Fibrokeratoma | Benign reactive verrucous lesion mostly verruca vulgaris | Original |
Resection | Cheek | Reexcision after melanoma in situ with a focus of invasive growing. Radical? Rest of melanoma in situ? | There is no evidence of remnant melanoma with presence of small nevus in slide 3 | No remnant of melanoma, no other specific abnormality | Original |
Resection | Anus | Condyloma, anal flap. Condyloma? | Skin resection with viral changes and moderate dysplasia (AINII) | Anal intra-epithelial neoplasia grade III, probably HPV | Original |
Resection | Nipple | Family history of melanoma, clinical diagnosis is nevus. Benign? |
| Skin excision nipple with dysplastic nevus | Original |
Biopsy | Unknown | Skin papule, DD: nevus, BCC | Benign lichenoid keratosis | Eczema | Original |
AIN II, Anal Intraepithelial Neoplasia grade II; BCC, Basal Cell Carcinoma; DD, Differential Diagnosis; HPV, Human Papilloma Virus; VIN, vulvar intraepithelial neoplasia;