Friday, January 3, 2020

Condyloma acuminatum

Condyloma acuminatum

Anal growth, usually due to human papillomavirus infection
Verucous hyperplasia




Koilocytes

Squamous cell carcinoma

Poorly differentiated squamous cell carcinoma

A growth over tonsil


Plemorphic spindle cells


Bizarre nuclei & mitotic figures



Looks almost like a pleomorphic sarcoma

Until you find this

A keratin pearl

Rosai Dorfman disease

Sinus histiocytosis with massive lymphadenopathy

This disease stands out in the pantheon of weirdness: monocytes and macrophages attacking one's own lymph nodes, but not quite able to finish the job. The node remains in a stalemate.


Lymphocytes engulfed by macrophages ... 

... but not quite digested

... because they are 'self', after all

a phenomenon called 'emperipolesis'





Lymph node mostly replaced by pink macrophages

with reisdual blue lymphoid follicles








Reading Kierkegaard

 Found this in Midland Book Store, South Extension The translation has all the artifacts of being - a translation - but still manages just e...