Dermatopathologist, Warwick Hospital UK. Interested in all dermatopathology esp. keratoacanthoma (KA) & follicular SCC-KA-like. Personal interests: Golf, cider making, dogs - especially fostering guide dogs. Family = No1.https://bsky.app/profile/racarr51.bsky.socialhttps://bsky.app/profile/racarr51.bsky.social/post/3mosntyywms2mRAC9375. F70s. Nasal alar. ?KA ?SCC, additional pathology. What is this rare combo of p16 & p53?21 Jun 2026 15:12 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3mosntyywms2mhttps://bsky.app/profile/racarr51.bsky.social/post/3mosljufcxk2vRAC9375. F70s. Nasal alar. 9 weeks ?KA ?SCC21 Jun 2026 14:30 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3mosljufcxk2vhttps://bsky.app/profile/racarr51.bsky.social/post/3mh24z5olsc2yRAC9366 M70s. Scalp Vertex. ?SCC #dermpath @rishiagrawal.bsky.social14 Mar 2026 19:10 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3mh24z5olsc2yhttps://bsky.app/profile/racarr51.bsky.social/post/3mgsiw37umc2lRAC9365. F80ish. Pre-auricular ?BCC. #Dermpath @rishiagrawal.bsky.social11 Mar 2026 18:22 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3mgsiw37umc2lhttps://bsky.app/profile/racarr51.bsky.social/post/3mgk2zcjmbs2rRAC9364 M70 ish. Upper chest. 30 x 20mm keratotic nodule ?SCC. #Dermpath @rishiagrawal.bsky.social08 Mar 2026 09:52 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3mgk2zcjmbs2rhttps://bsky.app/profile/racarr51.bsky.social/post/3mfqvmgoh722bRAC9358. M40s Bilateral giant pigmented lesion. Biopsy from chest. #Dermpath @rishiagrawal.bsky.social26 Feb 2026 09:39 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3mfqvmgoh722bhttps://bsky.app/profile/racarr51.bsky.social/post/3mfcmrvdzxk2mRAC9356. M60s. Re-excision of thin melanoma (7 weeks from prior excision). What's going on? @rishiagrawal.bsky.social #dermpath20 Feb 2026 17:23 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3mfcmrvdzxk2mhttps://bsky.app/profile/racarr51.bsky.social/post/3mfckrm36ls2nRAC9355 F60s. Lower back. ?BCC for opinions please. Also what type of giant cell? @rishiagrawal.bsky.social #Dermpath20 Feb 2026 16:48 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3mfckrm36ls2nhttps://bsky.app/profile/racarr51.bsky.social/post/3mexnuzvn3223RAC9352. M70s. Cheek. BCC excised. Adjacent lesion. #dermpath @iyengarish.bsky.social16 Feb 2026 08:44 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3mexnuzvn3223https://bsky.app/profile/racarr51.bsky.social/post/3mdgbhlzjok2vRAC9342: M70s Base of thumb. SCC excision. @rishiagrawal.bsky.social #dermpath27 Jan 2026 17:21 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3mdgbhlzjok2vhttps://bsky.app/profile/racarr51.bsky.social/post/3mddiulc6dk26RAC9339. M50 ish. Nasal bride. Started as a spot. Grew to nodule centrally keratotic, shaved at 13 weeks. Clin photo at 7wks. @rishiagrawal.bsky.social #Dermpath26 Jan 2026 14:56 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3mddiulc6dk26https://bsky.app/profile/racarr51.bsky.social/post/3mcwblvlpos2sRAC9338: Spot Diagnosis @rishiagrawal.bsky.social #Dermpath PLEASE DISCUSS21 Jan 2026 08:41 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3mcwblvlpos2shttps://bsky.app/profile/racarr51.bsky.social/post/3mbluvtp2522uDear #Dermpath community. 2025 was an anus horribilis in some ways but I find myself ending 2025 & beginning 2026 with a positive internal mindset. I wish you all well for 2026 and hopefully we will build the dermpath community on this platform to greater levels 😇04 Jan 2026 12:02 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3mbluvtp2522uhttps://bsky.app/profile/racarr51.bsky.social/post/3m7f2tdclxc22RAC9328: F60s >18/12 h/o itchy, erythematous plaque. Incision bx. ?Lichen simplex, ?Lichen amyloidosis, ?lipodermatosclerosis. #Dermpath @rishiagrawal.bsky.social A vine case😇07 Dec 2025 08:09 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3m7f2tdclxc22https://bsky.app/profile/racarr51.bsky.social/post/3m7cta6hkqc24F60s. Itchy lesion, hyperpigmented area. ?LP ?Eczema ?Morphoea. #Dermpath @rishiagrawal.bsky.social06 Dec 2025 10:48 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3m7cta6hkqc24https://bsky.app/profile/racarr51.bsky.social/post/3m77vcwxcg22xRAC9326 M90 ish. Ear. Recurrence. Name tumour, sign & stage. #Dermpath @rishiagrawal.bsky.social05 Dec 2025 06:47 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3m77vcwxcg22xhttps://bsky.app/profile/racarr51.bsky.social/post/3m764w7h4gc2qRAC9002: M60s. Plantar lesion ?VW ?SCC @rishiagrawal.bsky.social #Dermpath04 Dec 2025 13:58 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3m764w7h4gc2qhttps://bsky.app/profile/racarr51.bsky.social/post/3m747vtihks2rRAC9321. M70s Dorsum of foot. ?SCC ?Viral Wart. @rishiagrawal.bsky.social #Dermpath03 Dec 2025 19:46 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3m747vtihks2rhttps://bsky.app/profile/racarr51.bsky.social/post/3m5v7kpaxq22tHistopathologists & Dermatopathologists: Do you give completeness of excision on epidermoid cyst removal specimens. If so why? If not why not? Poll on X: https://x.com/RACARR51/status/199068244414871980018 Nov 2025 07:26 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3m5v7kpaxq22thttps://bsky.app/profile/racarr51.bsky.social/post/3m5svznof322cRAC9313. F50s. Thigh. Skin tag. Basic case #Dermpath17 Nov 2025 09:30 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3m5svznof322chttps://bsky.app/profile/racarr51.bsky.social/post/3m5qpsv76tk2xRAC3910 M60s. Dorsal foot warty lesion. ?VW ?SCC.#Dermpath @iyengarish.bsky.social16 Nov 2025 12:33 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3m5qpsv76tk2xhttps://bsky.app/profile/racarr51.bsky.social/post/3m5q4xba36c2sRAC9309: M80s. Lower back, ?SEBK, shave. H&Ex4 #Dermpath @rishiagrawal.bsky.social16 Nov 2025 06:56 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3m5q4xba36c2shttps://bsky.app/profile/racarr51.bsky.social/post/3m46qvioyhs2lRAC9300. F80 ish. Neck. ?SK ?AK27 Oct 2025 15:40 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3m46qvioyhs2lhttps://bsky.app/profile/racarr51.bsky.social/post/3m43zvnnigk2pRAC9306. M80s. Nose. SCC. #dermpath @rishiagrawal.bsky.social26 Oct 2025 13:43 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3m43zvnnigk2phttps://bsky.app/profile/racarr51.bsky.social/post/3m3ma5rxto225Great to be in Cape Town. Wayne Grayson introducing the XLIV symposium of the ISDP = International Society of Dermatopathology.20 Oct 2025 06:52 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3m3ma5rxto225https://bsky.app/profile/racarr51.bsky.social/post/3m2lm57sbks2oRAC9302 M80s Presternum. ?SCC #Dermpath @rishiagrawal.bsky.social07 Oct 2025 07:29 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3m2lm57sbks2ohttps://bsky.app/profile/racarr51.bsky.social/post/3m2e432awfc2nRAC9299 F70s. Mid Upper Chest. #Dermpath @rishiagrawal.bsky.social04 Oct 2025 07:53 +0000at://did:plc:bgx3427xnn4audoco5qeaquf/app.bsky.feed.post/3m2e432awfc2n