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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 314 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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Adult male, lesions on penis.


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Iskander Chaudhry - Central Manchester NHS Trust (Manchester UK) Wrote:

Well done the diagnosis is Epithelioid hemangioendothelioma - CD31 +++

Submitted on 25/08/2011 11:39
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jose mari arrinda yeregui - hospital del bidasoa (hondarribia guipuzcoa SPAIN) Wrote:

HEMANGIOENDOTELIOMA EPITELIOID, VS EPITHELIOID SARCOMA IHQ ? Vim, AE! AE•3, cd 34, FVIII,

Submitted on 24/08/2011 16:14
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jose mari arrinda yeregui - hospital del bidasoa (hondarribia guipuzcoa SPAIN) Wrote:

HEMANGIOENDOTELIOMA EPITELIOID, VS EPITHELIOID SARCOMA IHQ ? Vim, AE! AE•3, cd 34, FVIII,

Submitted on 24/08/2011 16:13
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Rodrigo Restrepo - UPB/CES (Mdlln/Col) Wrote:

Cutaneous epithelioid angiomatous nodule

Submitted on 23/08/2011 22:50
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Marie MD - () Wrote:

cutaneous epithelioid angiomatous nodule (CEAN)

Submitted on 23/08/2011 12:06
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Eman El-Nabarawy - Cairo University (Egypt) Wrote:

Epithelioid hemangioendothelioma.

Submitted on 23/08/2011 09:18
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Pablo Ortega-Espinosa - "Isidro Ayora" Hospital (Loja-Ecuador) Wrote:

This is a very interesting and difficult case, I think it looks like an Epitelioid Angiosarcoma.

Submitted on 23/08/2011 08:53
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Claire and Pooja - Northwick Park Hospital (London) Wrote:

An epithelioid tumour with focal vacuoles. The differential includes epitheioid haemagioendothelioma, proximal epithelioid sarcoma and, less likely, carcinoma (primary or metastatic). We would do the following immuno: AE1/AE3, INI1, CD34, p63, S100, Fli1

Submitted on 23/08/2011 08:28
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Marcela Saeb Lima - Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (Mexico City) Wrote:

Anaplastic or pleomorphic Kaposi Sarcoma

Submitted on 23/08/2011 08:08
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Mona Abdel Halim - Dermatology Department, Faculty of medicine, Cairo University (Egypt) Wrote:

Dear Dr Iskandar, I have placed a question in yesterday's case if u can kindly explain it to me, I would be very appreciating..

Submitted on 23/08/2011 07:28
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Mona Abdel Halim - Dermatology Department, Faculty of medicine, Cairo University (Egypt) Wrote:

An infiltrative tumor, composed of nests and cords of large epithelioid cells with abundant esinophilic cytoplsm, vesicular nuclei, prominent nucleoli, and some nuclear pleomorphism. Some cells appear to have intracytoplasmic lumina with RBC's (3rd image). I think there are few mitoses. Thought of epithelioid hemangioendothelioma. Clinically it may present as multiple papules or nodules..

Submitted on 23/08/2011 07:04
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ANDREW DANCKWERTS - NHLS / WITS UNIVERSITY (JOHANNESBURG, RSA) Wrote:

HIGH GRADE MALIGNANT NEOPLASM WITH A PROMINENT SPINDLE CELL MORPHOLOGY. I FAVOUR A SPINDLE CELL CARCINOMA / SARCOMATOID CARCINOMA. HOWEVER, THERE IS AN EXTENSIVE DIFFERENTIAL WHICH REQUIRES CONSIDERATION: (1) POORLY DIFFERENTIATED SCCA; (2) MELANOMA; (3) EPITHELIOD LEIYOMYOSARCOMA; (4) PLEOMORPHIC KAPOSI'S SARCOMA; (5) ATYPICAL FIBROBATOSIS; (6) METASTASIS. I WOULD LIKE TO PERFORM THE FOLLOWING IMMUNOHISTOCHEMICAL STAINS: CAM 5.2/AE1/3; S100/MITF/MELAN A/HMB45; SMA/MSA/DESMIN; HHV8/CD31; BETA CATENIN. CLINICO-PATHOLOGICAL CORRELATION IS ALSO REQUIRED.

Submitted on 23/08/2011 04:49
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