Prospective Consensus Reporting by Gynecologic Pathology and Dermatopathology Improves Diagnosis of Vulvar Biopsies.

Context.—: Vulvar biopsy interpretation and reporting, particularly of vulvar dermatoses, can be challenging in daily practice for both surgical pathologists (SPs) and dermatopathologists (DPs).

Objective.

Hansen Disease (Leprosy) and Armadillo Exposure in Arkansas: A Case Series.

Background: Although most cases of Hansen disease (HD) in the United States are imported from endemic areas, a subset of cases are relate to exposure to nine-banded armadillos. Several recent cases of HD in Arkansas occurred in patients who had not traveled to endemic areas and who reported variable degrees of armadillo exposure.

Objective: The purpose of this study was to report 6 cases of HD diagnosed in Arkansas between 2004 and 2016.

Pyoderma gangrenosum developing after chest tube placement in a patient with chronic lymphocytic leukemia.

Diagnosis of a neutrophilic dermatosis, such as pyoderma gangrenosum (PG), often is challenging at onset because it can be impossible to distinguish clinically and histopathologically from an acute infection in an immunosuppressed patient, necessitating a detailed patient history as well as correlation pathology with microbial tissue cultures. The dermatologist's ability to distinguish a neutrophilic dermatosis from active infection is of paramount importance, as the decision to treat with surgical debridement, in addition to an antibiotic regimen, can have grave consequences in the misdiagnosed patient. We present a case of PG occurring at a chest tube site in a patient with chronic lymphocytic leukemia (CLL) and highlight the challenges and therapeutic importance of arriving at the correct diagnosis.

Skin Adnexal Tumors in Plain Language: A Practical Approach for the General Surgical Pathologist.

Context.—: Skin adnexal tumors, those neoplasms deriving from hair follicles and sweat glands, are often a source of confusion amongst even experienced pathologists. Many well-described entities have overlapping features, tumors are often only partially sampled, and many cases do not fit neatly into well-established classification schemes.