PATHOLOGY REPORT Clinical Data: Rule out malignancy, lesion of eyelid Diagnosis: Basal Cell Carcinoma Specimen Site: Eyelid Gross Description: The specimen is received in formalin and labeled with the patient's name. It consists of a 0.1 cm punch biopsy of light tan, wrinkled skin excised to a depth of 0.2 cm. On the surface, there is an irregularly pigmented area measuring 0.1 cm. Entirely submitted. Microscopic Description: Sections of the submitted skin biopsy show a multicentric basal cell carcinoma. The tumor is formed by masses of small, darkly basophilic, ovoid cells that tend to palisade around the periphery. Marked basophilic degeneration of collagen is seen in the dermis. There is focal lymphocytic infiltration of the dermis. The tumor extends to margins of the biopsy. OUTPATIENT OFFICE ENCOUNTER Margaret Smith is a 61-year-old black female who presents with complaints of depression, weight gain, sensitivity to cold, joint and muscle pain, and fatigue. She
states that she feels tired even after getting a good night's sleep. In addition, she has gained 20 pounds over the past 3 months, which she says is atypical for her because she has maintained a relatively constant weight of 140 pounds over the course of the past 30 years. She finds that she must wear a jacket whenever she stays in an air- conditioned room, even if the room temperature is moderate. She also notes dry and cracked skin, especially around her heels and must apply moisturizers twice a day, which have not seemed to alleviate the excessive dryness. DISCUSSION QUESTIONS 1. Given one or two common medical terms found in the Operative and Pathology report shown above, deconstruct the components of specific medical terms to identify their meaning. 2. Review the outpatient encounter of Margaret Smith, accomplish the following and report in your findings and comments in your post.
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- Spring '19
- Rousse, Justin R.