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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 395 Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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75 year old, pigmented lesion on back.


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Admin_Dermpath

Posted

A Bansal - BCU HB (North Wales) Wrote:

Thanks very much Phil for the lucid response. Glad to know is an in situ melanoma.

Submitted on 15/12/2011 00:06
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Phillip McKee - Overseas Consultations (Cave Creek, Arizona, USA) Wrote:

The diagnosis is in situ melanoma. The distinction from dysplastic nevus is based on the excessive severe cytological atypia which should be random and spotty in a dysplastic nevus and the presence of pagetoid spread which by definition is never seen in a dysplastic nevus

Submitted on 14/12/2011 23:01
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Eman El-Nabarawy - Cairo University (Egypt) Wrote:

Melanoma in situ on top of dysplastic nevus.

Submitted on 14/12/2011 22:55
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Bostjan Luzar - (Ljubljana, Slovenia) Wrote:

Melanoma in situ, possibly in tha background of a dysplastic naevus

Submitted on 14/12/2011 22:03
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Rodrigo Restrepo - UPB/CES (Mdlln/Col) Wrote:

Moderate dysplastic junctional nevus

Submitted on 14/12/2011 21:31
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A Bansal - BCU HB (North Wales) Wrote:

Question: when does (in terms of histology criteria) a severely dysplastic naevus become in situ melanoma?

Submitted on 14/12/2011 21:20
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Marwa Fawzy - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Dysplastic nevus

Submitted on 14/12/2011 20:37
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Juan Carlos Garcés - Hospital Oncológico / Hospital Luis Vernaza (Guayaquil Ecuador) Wrote:

dysplastic nevus

Submitted on 14/12/2011 18:18
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Mona Abdel Halim - Dermatology Dept. Cairo University (Egypt) Wrote:

Dysplastic nevus, moderate to severe atypia

Submitted on 14/12/2011 17:42
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Pablo Ortega - (Loja-Ecuador) Wrote:

dysplastic junctinal nevus, with severe cytologic atypia.

Submitted on 14/12/2011 17:20
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Marcela Saeb Lima - INCMNSZ (Mexico City) Wrote:

moderate to focal severe dysplastic junctional nevus

Submitted on 14/12/2011 16:53
Sasi Attili - (UK) Wrote:

Dysplastic nevus (moderate). Some single cell pagetoid ascent but these cells appear senescent. Nice lmellar fibroplasia.

Submitted on 14/12/2011 14:54
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