Basal Cell Carcinoma (BCC) 101 - Dermpath Basics Explained by a Dermatopathologist

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  • Опубліковано 6 жов 2024

КОМЕНТАРІ • 110

  • @sahrishshah5084
    @sahrishshah5084 Рік тому +6

    Thank you Dr. Gardner for the great educational videos.
    Basal Cell Carcinoma
    Introduction: 0:00 - 1:02
    Classic Features of Basal Cell Carcinoma: 1:03 - 3:18
    Basal Cell Stroma: 4:55 - 6:07
    Patterns of Basal Cell Carcinoma: 3:19 - 36:48
    Nodular - BCC 3:35 - 4:04 and 21:43 - 22:40
    Superficial - BCC: 6:08 - 7:46
    Basaloid Squamous Cell Carcinoma: 7:48 - 9:25 and 26:51 - 29:14
    Nodular and Superficial - BCC: 11:00 - 12:40
    Infiltrative - BCC: 12:40 - 21:38
    Pigmented - BCC: 22:41 - 24:48
    Adenoid - BCC: 24:52 - 26:50
    Fibroepithelioma of Pinkus type - BCC: 29:20 - 31:20
    Granular Cell variant - BCC: 32:52 - 34:10
    Clear Cell variant - BCC: 34:15 - 34:52
    Amyloid deposition in BCC: 34:56 - 35:41
    Metastatic Melanoma in BCC: 35:43 - 36:48
    Pleomorphism in BCC: 31:22 - 32:49
    Seborrheic Keratosis in BCC: 36:50 - 37:34

  • @MyCesarFrancisco
    @MyCesarFrancisco 2 роки тому +5

    Very proper duration of the video. The content is very very important for Pathologists.

  • @Tamaralynn0480
    @Tamaralynn0480 3 роки тому +11

    Going for MOHS on Wednesday - being the type of person I am, I like to completely understand my health issues (eg. in this case, what they found in my biopsy for BCC). Thank you!

    • @JMGardnerMD
      @JMGardnerMD  3 роки тому +5

      Glad this helped! Hope your Mohs procedure goes smoothly and you recover quickly.

  • @46Palladium106
    @46Palladium106 7 років тому +18

    Just want to point out your professional and academic excellency in this video - chapeau to that! Looking forward to some more great )video) material from you.

    • @JMGardnerMD
      @JMGardnerMD  3 роки тому +1

      A complete organized library of all my videos, digital slides, pics, & sample pathology reports is available here: kikoxp.com/posts/5084 (dermpath) & kikoxp.com/posts/5083 (bone/soft tissue sarcoma pathology).

  • @KyrieW
    @KyrieW 7 років тому +10

    Thank you from a Pathology resident on mat leave! This was super helpful! :)

    • @wallendegen1
      @wallendegen1 7 років тому +1

      I'm also on mat leave, find these very helpful for keeping in touch.

  • @missknowall
    @missknowall 6 років тому +1

    I have been going through your videos again and every time I see them I learn something new.

  • @johnfazio2892
    @johnfazio2892 5 років тому +3

    Very nice review of BCC. You are a gifted educator.

  • @pierregullam7636
    @pierregullam7636 4 роки тому +9

    I wish youtube recommended this before 😭

    • @JMGardnerMD
      @JMGardnerMD  4 роки тому +2

      Glad you liked it. You may find these other intro videos helpful. SCC and AK: ua-cam.com/video/y9OzN3-OlSU/v-deo.html. Nevus: ua-cam.com/video/jKZDqJez9jw/v-deo.html. Melanoma: ua-cam.com/video/8N0IZZpF8ts/v-deo.html. Also if you like my videos, check out ‪my #dermpath Survival Guide book: bit.ly/2Te2haB ‬

  • @swimmygo
    @swimmygo 3 роки тому +2

    I have my BCC surgery on nose on 2-16. I'm a little scared, but not surprised since my grandmother and aunt died of skin cancer. My late dad had skin cancer too, but never had to have surgery like me. I think that's what scares me.

    • @JMGardnerMD
      @JMGardnerMD  3 роки тому +2

      I’m sorry you are going through this and that you feel scared. Surgery can be a scary experience for anyone. There are many types of skin cancer, not all of them behave the same or are treated the same. the good news is that BCC has an excellent prognosis when treated correctly. Although it can grow back if it is not completely removed with negative margins, it is EXTREMELY rare for it to spread to other parts of the body (metastasize) or cause death. I diagnose multiple cases of BCC every day but I’ve only see 3 cases of metastatic BCC in my entire career! So try not to be too anxious about that. Did your grandmother and aunt have melanoma? That is the kind of skin cancer that is sometimes fatal and it is totally unrelated to BCC. Best wishes for successful surgery and quick healing for you!

    • @swimmygo
      @swimmygo 3 роки тому +3

      @@JMGardnerMD Thank you for responding and your encouragement. I'm uncertain what kind of skin cancer my grandmother had. All my aunts, uncles, and parents have passed so I have nobody to ask. In addition, my aunt's daughter has passed so I cannot ask her either. I know my grandmother had a skin cancer above her eye and didn't have it looked at it in a timely matter. The cancer spread into her eye and she had to have her eye removed. Hopefully, it was melanoma for her and my aunt. I'm Irish so I know I'm more prone to skin cancers as well as my dad, grandmother, and aunt. I do have a wonderful dermatologist and hoping he can perform his magic on my nose without too much deformity. I've got to be strong and deal with it.

  • @yesarieroksuz6964
    @yesarieroksuz6964 3 роки тому +3

    Perfect slides and great explanations. Thank you ..

  • @Faizan1876
    @Faizan1876 4 роки тому +2

    Excellent video for beginners Dr Jerad , this has been so helpful !

  • @joeblow9295
    @joeblow9295 4 роки тому +3

    I have had 9 basal cell carcinomas removed only one with the light mohs incision no stitches just a little divot scoop no stitches needed the other eight needed a lot of stitches one basal cell I let go thinking it would a small divot scoop I let go but it was much worse the Dr said it looked like it was going on in center of my chest for over five years but it only started to get a scab and crack and bleed for less than a month before I went to get it removed That was so foolish he had to make what looked like the mark of zoro in the middle of my chest over 25 stitches to close the Z.lol since then I get checked every 6 months with no malignancies for 31/2 years then after 3 1/2 years I just had my 9th basal cell removed got about a 2 inch scar on my right neck by the clavicle it took about 7 or eight very close stitches but I really want to say I have been taking Nicotinamide 1000 mg a day 500 mg 2 x a day 1 500 mg before breakfast and another 500 mg pill after lunch and I have only had 1 basal cell in 3 1/2 years I feel the Nicotinamide has helped keeping away the extra malignant basal cells I mostly just get pre -cancer cells that I have frozen off and that's a lot better than surgery last year the Dermatologist
    prescribed my with 5-fluorouracil (5-FU) but I only put the cream on my upper chest and shoulders front and back that stuff made me look like a went through a fire but I did not put enough on my neck area and that is where my last basal cell was The 5-fluorouracil (5-FU) is a very unsightly treatment and causes a lot of discomfort but the Dr Said it removed many furture pre cancers and cancers from forming .So I will keep taking the Nicotinamide and keep getting 6 month check ups and have these basal cells removed ASAP from now on good luck to all those who are suffering with life long skin cancers . But the sooner they are removed the smaller the scar . I learned the hard way you can say I got fooled by the small Mohs procedure I had the first time best of luck to all your friend Zoro lol

  • @ncorry8491
    @ncorry8491 4 роки тому +5

    Excellent as always 👍. Would you consider doing a video on distinguishing clear cells tumours of the skin in the future?

  • @marygreen2672
    @marygreen2672 8 годин тому

    3 years ago I had basal cell carcinoma on my nose. Now I have another spot close to where it was before. She took a biopsy and it's basal cell carcinoma on my nose again. I go 10/20/24 for her to buff it out/ smooth it out. No stitches last time. 🙏🙏

  • @kuldeepverma990
    @kuldeepverma990 4 роки тому +1

    Excellent demonstration sir

  • @Eswar99918
    @Eswar99918 4 роки тому +3

    Good quality HPE images... good explanation.. Thank you sir...

  • @chrisfisichella6659
    @chrisfisichella6659 9 місяців тому

    Thank you very much. This was very interesting and relevant.

  • @kazuhisatsuruda8806
    @kazuhisatsuruda8806 3 роки тому +1

    So informative. I had bcc removed by my dermatologist only a few weeks ago.

    • @Peachypooh377
      @Peachypooh377 2 роки тому

      How are you doing today? Just found out today my fiancé has it

  • @shashikantpatne1157
    @shashikantpatne1157 6 років тому +2

    Very informative video on BCC... Wonderful indeed!!!

  • @toptennies7281
    @toptennies7281 4 роки тому +3

    Excellent. Thank you very much, Sir

  • @meliemelie9085
    @meliemelie9085 2 роки тому

    Thank you so much for this, I have an upcoming biopathology test and those videos have been more than helpful.

  • @adhyatm1
    @adhyatm1 4 роки тому +1

    Excellent explanation

  • @mohammad3674
    @mohammad3674 7 років тому +3

    Wonderful presentation. Thank you very much from the skin cancer capital of the world!

    • @BZaks
      @BZaks 6 років тому

      Sydney?

    • @woloabel
      @woloabel 5 років тому

      "Middle East..."?

  • @libian723
    @libian723 7 років тому +4

    very nice! Thank you for your wonderful video.Expect more presentations.

  • @DrAppy01
    @DrAppy01 5 років тому +2

    amazing video indeed. looking forward to a video about adnexal tumors and how to distinguish trichoepithelioma vs BCC! Thanks a lot. Great teacher and mentor Dr. Gardner!

    • @JMGardnerMD
      @JMGardnerMD  5 років тому +1

      Thanks! check out our skin adnexal tumors made simple paper in @ArchivesPath: www.archivesofpathology.org/doi/pdf/10.5858/arpa.2018-0189-RA. Also discuss this in my new Dermpath survival guide book coming out this month: bit.ly/2Te2haB

  • @fayghazvini
    @fayghazvini 6 років тому +4

    It is an excellent presentation. Thanks.

  • @johnfazio2892
    @johnfazio2892 6 років тому +1

    Excellent review of basal cell carcinoma.

  • @m.h27-12
    @m.h27-12 4 роки тому +1

    Excellent explanation .Thank you very much for such informative Vedios.

  • @znrsmsaa3655
    @znrsmsaa3655 Рік тому

    Thank you so much dear doctor

  • @missknowall
    @missknowall 6 років тому +2

    Simply superb 👏👏👏

  • @rositaroz5310
    @rositaroz5310 3 роки тому +1

    very well explained 😊

  • @DerrickAdamsdermatologist
    @DerrickAdamsdermatologist 4 роки тому +1

    Great review

  • @agustincarrara4678
    @agustincarrara4678 5 років тому +3

    Love your videos Dr. Jerad. Do you know any other youtube pathology channel like yours? Really like the way you teach and your expertise on the subject, thank you for sharing it. I'm an argentinian med student that appreciate your work.

    • @JMGardnerMD
      @JMGardnerMD  5 років тому +1

      Thanks! Try these: ua-cam.com/users/WashingtonDeceit. ua-cam.com/users/smurf3073

    • @agustincarrara4678
      @agustincarrara4678 5 років тому +1

      @@JMGardnerMD thank you Dr.!

    • @veramae4098
      @veramae4098 2 роки тому

      "Dr. John Campbell" (retired, PhD in nursing education) has a series on body parts. (Edit: "Anatomy", that's the word. Sorry, I just turned 70 and my brain has decided to retire too.)
      I was an elementary school librarian. I dropped by because I'm interested in everything -- which is fairly common amongst librarians.
      He's become somewhat famous for his work on explaining and staying up to date on Covid, including a willingness to state he was previously wrong when new research comes out, and several snarky vids on gov't response to Covid.
      Shortly after he started, conspiracy theorists and various trolls showed up, but he's won them over by his meticulous work.
      In fact, he was onto Covid before almost anyone because two doctors in China (who had studied his vids) emailed him about a dangerous new disease, info of which was being suppressed by the gov't. (Emails that added "don't use our names" which he never has.
      His other videos are full of rave reviews world wide from nursing and medical students.

  • @BZaks
    @BZaks 6 років тому +2

    you are amazing- dermatology resident

  • @azgonz56
    @azgonz56 5 років тому +1

    While Stage IV (Metastatic) Melenoma is the ultimate francoanaplasia according to medical consensus, a Basal Cell Carcinoma (BCC) is fairly underrated as such is primordial cellular malignancy, the Stem Cells of the skin in my personal reckoning. Furthermore, such is the anaplasia that it is infiltrative while undergoing typical cellular differentiation deep into the dermis and hypodermis even. The metastatic, late- staging of a basal cell malignancy should be when it has infiltrated while forming keratosis (Basosquamous Carcinoma Mimic) and mimicing a Squamous Cell Carcinoma (SCC) as if it was under normal maturation morphology. Otherwise, I suspect a most clear and serious neoplasia is systematically being mal-appraised for what it cytologically is, a cellular lesion of serious and fatal genetic Aetiology....lol

  • @Bussnusen
    @Bussnusen 2 роки тому

    Awesome presentation! /swedish opthalmologist

  • @יבגנימרצוקוב
    @יבגנימרצוקוב 7 років тому +4

    Thank you! Great educational video!

  • @schnooksdad136
    @schnooksdad136 5 років тому +1

    awesome and comprehensive job...great presentation.

  • @shamoliyasmin699
    @shamoliyasmin699 2 роки тому

    EXCELLENT TEACHING

  • @ThePaleRider100
    @ThePaleRider100 7 років тому +2

    Superb video, thank you professor

  • @nadiahv
    @nadiahv 5 років тому +2

    Thank you very much for the video, it was very helpful

  • @anacernaianu
    @anacernaianu Рік тому

    You are a gift from god

  • @dangthinh90
    @dangthinh90 6 років тому +1

    Great great great lecture ever! Thank you so much!

  • @dbinod
    @dbinod 6 років тому +5

    Sir thank you for such wonderful videos. Can you post adnexal tumors videos?

    • @JMGardnerMD
      @JMGardnerMD  6 років тому

      Thank you. It's my pleasure. You are in luck...I'm working on an adnexal tumor review article for Archives of Pathology & Laboratory Medicine. I plan to create some videos to go along with the paper. Hope to have these out in the next few months.

  • @indrojitbahalia821
    @indrojitbahalia821 7 років тому +2

    very nice sir.. would like to see some vesicobulous hp slides

  • @shilpasood5677
    @shilpasood5677 4 роки тому +1

    excellent

  • @MrMihnead
    @MrMihnead 7 років тому +4

    Thank you for the wonderful video Dr. Gardner. What is your experience with BCC in the pediatric group? Have you seen such cases in children? I have such a case right now, a superficial BCC in a 14yo boy. I haven't checked with the treating clinician yet to see if there are any genetic syndromes present, but the location is strange to me, as it is on the trunk.

    • @JeradGardner
      @JeradGardner 7 років тому +4

      Mihnea Derban yes I see BCC in kids occasionally, usually in association with Gorlin or other syndromes.

    • @phillipjohnpaul6596
      @phillipjohnpaul6596 4 роки тому

      Multiple basal cell carcinoma - gorlin syndrome... probably present with various tumors and conditions

  • @blogger529
    @blogger529 6 років тому +1

    Awesome truly

  • @biljanad.1571
    @biljanad.1571 2 роки тому +2

    Hi Dr.Gardner! My friend was recently diagnosed with basal cell adenocarcinoma parotid gland. She had biopsy done by her dermatologist which slowed basal cell adenocarcinoma... she has not had parotidectomy yet...since the biopsy her tumor has shrunk by 60%!!!!!! It is still shrinking! Is it normal for basal cell adenocarcinoma tumor to be shrinking after biopsy without any surgery or radiation? Is it possible that she was misdiagnosed ?

    • @JMGardnerMD
      @JMGardnerMD  2 роки тому +2

      I'm sorry, I don't know much about basal cell adenocarcinoma as it is a salivary gland tumor. It is different than basal cell carcinoma of the skin. I'm a skin pathologist, so I don't handle many cases of salivary gland tumors. Best wishes for health and healing for your friend and peace for you both.

  • @Rock_Girl_Daze
    @Rock_Girl_Daze 5 місяців тому

    Sadly, I was not able to see my GP during lockdown. I had a growth that got very large. Just waiting for Mohs.

  • @JMGardnerMD
    @JMGardnerMD  3 роки тому +1

    A complete organized library of all my videos, digital slides, pics, & sample pathology reports is available here: kikoxp.com/posts/5084 (dermpath) & kikoxp.com/posts/5083 (bone/soft tissue sarcoma pathology). Sample pathology report templates for BCC: kikoxp.com/posts/5093 (includes examples of how I sign out various types of BCC along with a lot of commentary).

  • @KhuyenNguyen-zb8nd
    @KhuyenNguyen-zb8nd 5 років тому +1

    Dear Prof. BCC with glandular differentiation, i don't know BCC has this subtype?

  • @drbonitaborah6752
    @drbonitaborah6752 5 років тому +2

    words are not enough to thank

  • @bouhnikdjalil7094
    @bouhnikdjalil7094 6 років тому +1

    Thank you so much Sir

  • @zhengxiaomin3638
    @zhengxiaomin3638 6 років тому +1

    Great presentation. Dr. Gardner: could you talk about squamous cell carcinoma and AK? Thanks

    • @JMGardnerMD
      @JMGardnerMD  6 років тому +2

      Yes, I am working on a video for that in the near future.

  • @drprajwalpudasaini7387
    @drprajwalpudasaini7387 5 років тому +1

    great one

  • @LHA100
    @LHA100 10 місяців тому

    Thank you for your informative video! Could you share your approach to coding when dealing with cases of mixed types of basal cell carcinoma?

  • @drsandhyaramachandran4821
    @drsandhyaramachandran4821 4 роки тому +1

    Awesome as always ! thank you. At 7:15, the peripheral inked margin is positive? in the superficial BCC. If yes, does that have to be mentioned in the report? TIA.

    • @JMGardnerMD
      @JMGardnerMD  4 роки тому

      I prefer not to report “margins” on shave biopsy of BCC and SCC as they are not reliable. A significant subset of cases with apparently negative margins are actually positive. But I will report them if requested by a dermatologist as a courtesy. Here’s our paper on this topic: www.archivesofpathology.org/doi/full/10.5858/arpa.2015-0313-OA

    • @SandhyaRamachandran
      @SandhyaRamachandran 4 роки тому

      @@JMGardnerMD thank you!

  • @nosrac95
    @nosrac95 6 років тому +2

    Thanks for the great series of videos, they're extremely helpful!
    What is the main difference in differentiating between cystic basal cell carcinoma and adenoid basal cell carcinoma?
    I'm looking at the image in Rapini's Practical Dermatopathology (2005) and I'm not seeing a stark difference between your example of adenoid BCC (26:00) and Rapini's example of cystic basal cell carcinoma.
    Some clarification would be greatly appreciated, keep up the great work!

    • @JMGardnerMD
      @JMGardnerMD  6 років тому +5

      Thank you! Adenoid cystic carcinoma has very sharply punched out perfectly round spaces, whereas in adenoid BCC they are usually much more irregular. Sometimes you can find areas that at high power look very similar between the two tumors, but from low power they are easy to tell apart with practice. Adenoid BCC usually has other classic BCC features like mucin filled cleft artifact. Primary cutaneous adenoid cystic carcinoma is usually indolent (different from its salivary gland counterpart), much like BCC.

  • @drsaradindudas5859
    @drsaradindudas5859 6 років тому +1

    Thank you Sir

  • @ps1365
    @ps1365 3 роки тому +1

    I would like to give you a hug 😊🌸

  • @medhachem5943
    @medhachem5943 Рік тому

    Thank you sir Dr

  • @Iseeyou12332
    @Iseeyou12332 Рік тому

    What about mentioning Superficial Radiation Therapy as a treatment?

  • @AirtonsennaMr
    @AirtonsennaMr 5 років тому +3

    I m from Brazil. We study by your video. Could you please attach the subtitles in English?

    • @JMGardnerMD
      @JMGardnerMD  5 років тому +3

      Yes I’m working on adding English subtitles to all of my videos. My medical students have been volunteering to help with this but it takes a lot of time so it’s slow going. BCC is one of the next ones coming up on the list so hopefully it will have subtitles soon. Also my videos are open for public contributions for subtitles via UA-cam. So if you have friends who are Portuguese speakers who want to listen to the video and transcribe it into Portuguese they can submit that through UA-cam and it will let me approve it to add to the video.

  • @larryfaught1771
    @larryfaught1771 4 роки тому +2

    Is it normal to wait a month before removing a basal cell skin cancer

    • @JMGardnerMD
      @JMGardnerMD  4 роки тому +2

      They are slow growing tumors. I often see several weeks or even a month or longer between date of original biopsy and date of excision surgery to fully remove the tumor.

  • @kimberleydownunder
    @kimberleydownunder 24 дні тому

    I just noticed the last few days a medium size pearly drying scaly new thing below my collarbone. . It wasn’t there when I got checked 1 year ago.

    • @JMGardnerMD
      @JMGardnerMD  23 дні тому

      Please go see your dermatologist for evaluation. It might be something benign, but it’s always best to get a new or changing skin lesion checked by a dermatologist to be sure. Best wishes for good health!

  • @operationgetthugs232
    @operationgetthugs232 Рік тому

    No discussion as to whether BCC differentiates toward hair follicles?

  • @khangle7480
    @khangle7480 3 роки тому +1

    Thank you for a wonderful video and helpful knowledge!
    By the way, Dr. Jared, can I ask a question: can we use p40 and p63 IHC to differentiate the BCCs with granular cells or clear cells with other metastatic carcinoma?

    • @JMGardnerMD
      @JMGardnerMD  3 роки тому +2

      P63 and p40 will stain BCC but is negative in most metastatic adenocarcinoma. So it can definitely help in that specific context

    • @khangle7480
      @khangle7480 3 роки тому +1

      @@JMGardnerMD Thanks for your explanation! Really love your comprehensive educational and 5-minute videos!

  • @phillipjohnpaul6596
    @phillipjohnpaul6596 4 роки тому +1

    Sir. Does immunotherapy provides a good response in basal cell carcinoma

    • @JMGardnerMD
      @JMGardnerMD  4 роки тому +1

      I don’t know. I’ve never heard of checkpoint inhibitors being used for BCC. For superficial BCC, topical imiquimod is sometimes used which is kind of like a form of immunotherapy I guess. It enhances immmne response towards tumor locally. For advanced or metastatic BCC, vismodegib hedgehog pathway inhibitor may be used.

  • @hafidag2593
    @hafidag2593 6 років тому +1

    i want to know what happens in molecular level ..the mecanism i mean ... at the level of the chromosome?

  • @darkxel1
    @darkxel1 2 роки тому

    Súper 🙌🏻🙌🏻🙌🏻🙌🏻

  • @nurulaimiabdulrahman7271
    @nurulaimiabdulrahman7271 4 роки тому +1

    Hi do u have ovarian tumors HPE teaching?

    • @JMGardnerMD
      @JMGardnerMD  4 роки тому +1

      sorry I do not. I don't practice ovarian tumor or other gyn pathology in my practice (aside from vulvar skin and soft tissue lesions)

  • @sujangautam2315
    @sujangautam2315 3 роки тому +1

    Can you please help explain what borst jadassohn phenomenon

    • @JMGardnerMD
      @JMGardnerMD  3 роки тому +1

      I think I talk about it in this IFK video kikoxp.com/posts/4379

  • @valeb2640
    @valeb2640 4 роки тому +1

    Pleeeeeeease subtitles!!!!!!!

    • @JMGardnerMD
      @JMGardnerMD  4 роки тому +2

      Thank you for letting me know they were missing. I added them before but for some reason they didn’t save. I’ll upload them again. For now, here is the transcript. www.dropbox.com/s/k51c4by8ykorvyh/BASAL%20CELL%20CARCINOMA%20-%20TRANSCRIPT%20-%20%20%20%20%20PROJECT%20-%201%20Mitul%20Modi.docx?dl=0

  • @rimakattea2237
    @rimakattea2237 5 місяців тому

    ❤❤❤

  • @kitten100
    @kitten100 Рік тому

    👍👍

  • @amaliyadipita6906
    @amaliyadipita6906 Рік тому

    👍🏾👍🏾👍🏾👍🏾👍🏾❤️❤️

  • @woloabel
    @woloabel 5 років тому +1

    Dermatologists Gardner and Singh together will turn neoplasia into what it was really intended by nature: Make cellular geneneration infinate and thus making mankind ETERNAL....lol

  • @JosephGarcia-e9e
    @JosephGarcia-e9e Місяць тому

    Hall James Wilson Patricia Anderson Jason

  • @Omar-vv3fp
    @Omar-vv3fp 6 років тому

    Thank you sir