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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 397 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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50 year old with perianal lesions, history of colonic carcinoma 10 years previously.


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Admin_Dermpath

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Phillip McKee - Overseas Consultations (Cave Creek, Arizona, USA) Wrote:

Well done all of you. It is a very beautiful case. I like to think of it as metastatic mucinous carcinoma with Paget's disease but epidermotropic is equally valid. Have a lovely weekend.

Submitted on 16/12/2011 23:05
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Eman El-Nabarawy - Cairo University (Egypt) Wrote:

metastatic epidermotropic mucinous adenocarcinoma

Submitted on 16/12/2011 18:39
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Rodrigo Restrepo - UPB/CES (Mdll/Col) Wrote:

Metastatic adenocarcinoma

Submitted on 16/12/2011 18:14
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Marcela Saeb Lima - INCMNSZ (Mexico City) Wrote:

metastatic epidermotropic mucinous adenocarcinoma. Agree amazing case!!

Submitted on 16/12/2011 16:33
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Marwa Fawzy - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Agree ,epidermotropic metastatic adenocacinoma .

Submitted on 16/12/2011 15:41
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I. Abdul-kadir - SJUH (Leeds, UK) Wrote:

Ditto.

Submitted on 16/12/2011 14:56
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Sasi Attili - (UK) Wrote:

Agree!!

Submitted on 16/12/2011 14:51
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Mona Abdel Halim - Dermatology Dept. Cairo Univ. (Egypt) Wrote:

Metastatic mucinous adenocarcinoma and extramammary Paget's disease (mostly as an epidermotropic metastasis from the colonic cancer). Amazing case !!!!!

Submitted on 16/12/2011 14:46
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