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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 4000! You can review the archived cases and read the suggested diagnoses by users and the final comment by the contributors.
Case are uploaded each week day by 10 am UK time with the correct diagnosis will generally be posted at 8 pm UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 143 Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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perineural invasion


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Posted

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

I do hope that everyone had a wonderful Christmas or holiday. This case is very difficult. It is certainly perineural invasion and I think that sebaceous carcinoma (or BCC) are good differentials. It is however, nerve spread in a cutaneous Merkel cell carcinoma

Submitted on 27/12/2010 19:49
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Marwa Fawzy - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Sebaceous carcinoma

Submitted on 27/12/2010 18:08
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Marcela Saeb Lima - Instituto Nacional de Ciencia Médicas y Nutrición Salvador Zubirán (Mexico City) Wrote:

Perineural infiltration of a carcinoma

Submitted on 27/12/2010 17:20
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Eman El-Nabarawy - Cairo University (Egypt) Wrote:

Difficult case.Thought of foreign body reaction? traumatic tatoo?

Submitted on 27/12/2010 16:07
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Naglaa Nabil El Mongy - Cairo University (Egypt) Wrote:

I agree with perineural invasion by sebaceous carcinoma

Submitted on 26/12/2010 20:16
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Mona Abdel-Halim - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

I am also thinking of perineural invasion by a ? sebaceous carcinoma. Very nice image!!

Submitted on 26/12/2010 19:46
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Peter Arkwright - (New York, New York) Wrote:

Perineural invasion by sebaecous carcinoma

Submitted on 26/12/2010 18:47
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