Dr. Z's Consultations

Dr. Artur Zembowicz, M.D., Ph.D., Founder of Dermpedia Case in Dermatopathology from Harvard Dermatopathology Update CME Course 2005 Case in Dermatopathology from Harvard Dermatopathology Update CME Course 2007 Cases in Dermatopathology from Harvard Dermatopathology Update CME Course 2006

Case collection featuring teaching and consultation cases of Dr. Artur Zembowicz, M.D., Ph.D., (bio  citation) a consultant in dermatopathology, ophthalmic pathology and head and neck pathology.

Consultations to Dr. Zembowicz can be sent to:

Department of Pathology, 6th Floor

133 Brookline Ave

Boston, MA 02215

Tel. (617) 549 1168

or

sumbitted at the website www.DermatopathologyConsultations.com

4.5
Peer Review: 4.5 (2 votes)

Cases associated with this conference:

  • Right arm lesion, 53-year-old woman
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Plexiform schwannoma

  • 54 year-old HIV-positive male with upper back thickenning.
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Scleredema
  • Inverted follicular keratosis
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Inverted follicular keratosis

  • Right cheek lesion, 12-year-old girl
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Dermal spindled and epithelioid cell (Spitz) nevus with moderate atypia

  • 11-year-old girl with brown-tan papules on her back and chest
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Halo nevi

  • Adnexal tumor versus BCC
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: BCC with trichoepithelial features

  • Nevoid melanoma
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Nevoid melanoma

  • Congenital nevus with proliferative nodules
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Congenital nevus with proliferative nodules

  • Early invasive melanoma
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Early invasive melanoma

  • Right temple tumor submitted as "suspicious for sebaceous carcinoma"
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Pending

  • 15-year-old with "suspicious conjunctival lesion"
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Conjunctival melanocytic nevus

  • Atypical acral nevus
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Atypical acral nevus

  • Case 10
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Pending

    Event: Didactic Session II: Adnexal tumors
  • Case 9
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Pending

    Event: Didactic Session II: Adnexal tumors
  • Kaposi sarcoma, early patch stage
    Author: Sean Klepper M.D.
    Diagnosis: Kaposi sarcoma, early patch stage

  • Malignant blue nevus
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Malignant blue nevus

  • Rare variant of a rare tumor.
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Cellular neurothecoma

  • Xanthogranuloma (juvenile type)
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Juvenile xanthogranuloma

  • Benign tumor often confused with spitzoid malignant melanoma
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: To be discussed at the Dermpedia Dermatopathology CME Course in Scottsdale, AZ

    Event: Dermpedia Practical Dermatopathology Update Hosted by Phillip H. McKee, M.D., FRCPath., Scottsdale 2010
  • Pigmented epithelioid melanocytoma from a patient with Carney Complex
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Pigmented epithelioid melanocytoma from the patient with Carney Complex

  • Atypical nevus or nevoid melanoma?
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: To be discussed at the Course

    Event: Dermpedia Practical Dermatopathology Update Hosted by Phillip H. McKee, M.D., FRCPath., Scottsdale 2010
  • 12 year old with pigmented conjunctival lesion
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Pending

    Event: Dermpedia Practical Dermatopathology Update Hosted by Phillip H. McKee, M.D., FRCPath., Scottsdale 2010
  • Insect bite?
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Insect bite reaction

  • Trichoadenoma
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Trichoadenoma

  • Frequent diagostic problem
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Combined component and clonal/inverted type A nevus

  • Borderline melanocytic tumor (MELTUMP)
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Borderline melanocytic tumor (MELTUMP)

    Event: Dermpedia Practical Dermatopathology Update Hosted by Phillip H. McKee, M.D., FRCPath., Scottsdale 2010
  • Syringotropic melanoma
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Syringotropic melanoma

  • 13 month old African American girl with chronic bullous eruption
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Pending

    Event: Dermpedia Practical Dermatopathology Update Hosted by Phillip H. McKee, M.D., FRCPath., Scottsdale 2010
  • Pigmented epithelioid melanocytoma from a patient with Carney Complex
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Pigmented epithelioid melanocytoma (epithelioid blue nevus of Carney complex)

  • A small red papule on the upper eyelid in a 27 year old female
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Superficial angiomyxoma

  • Pigmented epithelioid melanocytoma from a patient with Carney Complex
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Pigmented epithelioid melanocytoma (epithelioid blue nevus of Carney complex)

  • A very rare case
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Conjunctival Rosai-Dorfman disease (sinus histiocytosis with massive adenopathy)

  • Elastosis perforans serpiginosa
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Elastosis perforans serpiginosa

  • Aplasia cutis congenita
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Aplasia cutis congenita

  • Bananas
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Ochronosis (exogeouns)

  • Benign process misdiagnosed as squamous cell carcinoma
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Subungual epidermoid inclusions.

  • Case for Dermpedia Scottsdale 2010 Course
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Pending

    Event: Dermpedia Practical Dermatopathology Update Hosted by Phillip H. McKee, M.D., FRCPath., Scottsdale 2010
  • A surprise
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Kaposi sarcoma

  • 35 year-old female with suspected melanoma on the right shoulder
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Deep penetrating nevus

  • Aggressive digital papillary adenoma/adenocarcinoma
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Aggressive digital papillary adenocarcinoma

  • Atypical genital melanocytic proliferation in a 25 year-old female
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Atypical nevus of genital type

  • Classic reactive lymphoid hyperplasia (cutaneous B cell pseudolymphoma)
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Reactive lymphoid hyperplasia (pseudolymphoma)

  • A well hidden diagnosis
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Cutaneous leishmaniasis

  • A diagnostic pitfall
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Amelanotic cellular blue nevus

  • Recurrent nevus
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Recurrent junctional nevus

  • Sebaceous adenoma as a clue to Muir-Torre syndrome
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Sebaceous adenoma in a patient with Muir-Torre syndrome

  • Great masquarader
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Sebaceous cell carcinoma of the eyelid

  • Always a challenging diagnosis
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Malignant melanoma (spitzoid?)

  • Superficial basal cell carcinoma with a bonus diagnosis
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Granuloma faciale

  • 32 year-old Caucasian female with suspected melanoma on the proximal forearm
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Pending

  • Acute erythema nodosum with early neutrophilic component or a neutrophilic dermatosis?
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Erythema nodosum (acute)

  • Another "baso/squamo-melanocytic tumor"
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Basomelanocytic tumor

    Research Project :Melanoma with epithelial differentiation and tumors with epithelial/melanocytic differentiation
  • Typical histology but somewhat unusual age and location
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Myofibroma (adult type)

  • Rapidly growing tumor in a preexisting blue nevus
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Malignant blue nevus

  • Early histological changes in glucagonoma
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Glucagonoma syndrome (necrolytic migratory erythema)

  • Rush biopsy
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Temporal arteritis

    Event: Medilink Training 2nd Dermatopathology Update
  • Interesting pigmented lesion
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Combined dermal and blue nevus

  • Probably the most commonly misdiagnosed dermatosis.
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Acrodermatitis enteropathica (Zn deficiency)

    Event: Medilink Training 2nd Dermatopathology Update
  • How to diagnose urticaria histologically?
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Urticaria

  • A consultation from Norway
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Malignant neurocristic tumor arising in neurocristic hamartoma

    Event: Medilink Training 2nd Dermatopathology Update
    Research Project :Neurocristic hamartoma and malignant neurocristic hamartoma
  • Pigmented apocrine hamartoma (of the vulva), a new entity or a variant of apocrine hidrocystoma?
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Pigmened apocrine hamartoma of the vulva

  • 36 year-old female with a fleshy papule on the left chest below the breast
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Supernumerary nipple

  • 30-year-old male with one year history of changing nodule on the forehead
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Epithelioid hemangioma (angiolymphoid hyperplasia with eosinophilia)

  • A 27-year-old male with a skin-colored papule on the left year
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Spitz nevus

  • 19 year-old female with firm erythematous papules on fingers and palms
    Author: Dr. Catherine A. Hoffman M.D.
    Diagnosis: Perinio

  • Amelanotic cellular blue nevus
    Author: Mitsuhiro Sugiura M.D., Ph.D.
    Diagnosis: Amelanotic cellular blue nevus

  • Papillomatous lesion on the caruncle of a 79 year-old-man
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Sebaceous carcinoma

  • 45 year-old woman with recent onset of a rapidly progressing painful rash on both breasts
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Warfarin-induced skin necrosis

    Event: Medilink Training 2nd Dermatopathology Update
  • A 13-year-old boy with a history of Carney Complex and a pigmented lesion
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Carney complex-associated epithelioid blue nevus/pigmented epithelioid melanocytoma

    Event: Medilink Training 2nd Dermatopathology Update
  • 58 year old male with erythematous papule on the forehead
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Balloon cell melanoma

    Event: Medilink Training 2nd Dermatopathology Update
  • Rapidly growing lower eyelid nodule associated with conjunctival erythema in a 59 year-old woman.
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Ocular sebaceous carcinoma

    Event: Medilink Training 2nd Dermatopathology Update
  • Recurrent metastatic vulvar tumor previously diagnosed as poorly different squamous cell carcinoma in a 78 year-old woman
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Adnexal clear cell carcinoma with comedonecrosis

    Event: Medilink Training 2nd Dermatopathology Update
  • A 36 year old healthy woman with a non-healing ulceration on the cheek
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Leismaniasis

  • Clear cell basal cell carcinoma
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Basal cell carcinoma, clear cell variant

  • Melanoma with areas of epithelial differentiation/malignant basomelanocytic tumor?, Case 1
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Pending

    Research Project :Melanoma with epithelial differentiation and tumors with epithelial/melanocytic differentiation
  • 69 y/o female with longstanding h/o atopic dermatitis with severe flares
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: chronic eczematous dermatitis

    Event: Lahey Clinic Dermatology Grand Rounds 11/19/2008
  • 67 years old woman with pigmented rash
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Post-inflammatory hyperpigmentation

    Event: Lahey Clinic Dermatology Grand Rounds 11/19/2008
  • 44 year old male with acute onset alopecia
    Author: Sarita Nori

    Event: Lahey Clinic Dermatology Grand Rounds 11/19/2008