Case Number : Case 132 Posted By: Guest

Phillip McKee - Overseas consultations (Sedona, Arizona, USA) Wrote:

Well done all who diagnosed spindle cell lipoma. Considering it is a fairly high powerf field, I was lucky to get all of the features. Have a wonderful weekend. Phillip

Submitted on 10/12/2010 19:26
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Richard Carr - Warwick (Uk) Wrote:

Yet again spectabular image. Nice "ropey" (presume that derives from old fashioned coiled ropes) collagen (and all the other features) for a spindle cell lipoma (these lesions are often very myxoid).

Submitted on 10/12/2010 17:29
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Marcela Saeb Lima - Instituto Nacional de Ciencia Médicas y Nutrición Salvador Zubirán (Mexico City) Wrote:

spindel cell lipoma....

Submitted on 10/12/2010 16:52
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Naglaa Nabil El Mongy - Cairo University (EGYPT) Wrote:

As I said before, I am trying to learn dermatopathology. I recogized these spindle cell proliferation from the start and almost no lymphocytes ( old lupus panniculitis could have sparse inflammatory cells but have myxoid stroma and hyaline deposition). I was wrong. I agree with spindle cell lipoma .

Submitted on 10/12/2010 16:49
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Mona Abdel-Halim - Dermatology Department, Faculty of Medicine, Cairo University. (Egypt) Wrote:

Spindle cell lipoma is nice idea but I think the spindle cell proliferation is less than needed to diagnose spindle cell lipoma and also the myxoid stroma in this section is somehow abundant. Thought of superficial acral fibromyxoma (loosly and randomly arranged spindle cells, myxoid and collagenous stroma and mature fat cells which have been reported in some cases of superficial acral fibromyxoma). Less likely I will consider fibrous hamartoma of infancy. I might be wrong anyway!! Nice case, anxious to know the correct diagnosis.

Submitted on 10/12/2010 09:43
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Eman El-Nabarawy - Cairo University (Egypt) Wrote:

Mature adipose tissue, spindle cells. myxoid stroma, thick collagen bundles. spindle cell lipoma or fibrous hamartoma of infancy.

Submitted on 10/12/2010 08:52
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Juan Carlos Garcés - Hospital Oncológico / Hospital Luis Vernaza (Guayaquil Ecuador) Wrote:

Sorry for the spelling... Spindle cell lipoma

Submitted on 10/12/2010 00:38
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Juan Carlos Garcés - Hospital Oncológico / Hospital Luis Vernaza (Guayaquil Ecuador) Wrote:

Good evening / good morning... Spindel cell lipoma?

Submitted on 10/12/2010 00:37
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Naglaa Nabil El Mongy - Cairo University (Egypt) Wrote:

LUPUS PANNICULITIS??

Submitted on 09/12/2010 22:16
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