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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 384 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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Female 38 years, erythematous lesion on breast.
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  Report Record
Go to records November 2011

User Feedback


Admin_Dermpath

Admin_Dermpath 1,217

Posted

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

This case was kindly shared with me by Nooshin Brinster, Virginia. It comes from a lady who had radiotherapy for Ca breat. It was diagnosed as atypical vascular proliferation. The differential diagnoses given in the comments are very good.

Submitted on 29/11/2011 13:50
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Eman El-Nabarawy - Cairo university (Egypt) Wrote:

Atypical postradiation vascular proliferation vs hobnail hemangioma.

Submitted on 29/11/2011 13:20
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Marcela - Escaname (Medical Univesity of Graz, Austria) Wrote:

Hobnail Hemangioma

Submitted on 29/11/2011 12:40
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Mona Abdel Halim - Dermatology Dept. Cairo Univ. (Egypt) Wrote:

Hobnail hemangioma

Submitted on 29/11/2011 12:16
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Mona Abdel Hali - Dermatology Dept. Cairo Univ. (Egypt) Wrote:

Hobnail hemangioma

Submitted on 29/11/2011 12:16
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Pablo Ortega - "Isidro Ayora" Hospital (Loja-Ecuador) Wrote:

angiosarc.

Submitted on 29/11/2011 07:15
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Rodrigo Restrepo - UPB/CES (Mdlln/Col) Wrote:

Hobnail hemangioma

Submitted on 29/11/2011 07:07
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Marcela Saeb Lima - INCMNSZ (Mexico City) Wrote:

Atypical postratdiation vascular proliferation vs hobnail hemangioma

Submitted on 29/11/2011 06:01
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A Bansal - BCU HB (North Wales) Wrote:

My differentials include: hobnail haemangioma or atypical postradiation vascular proliferation. Need a full history.

Submitted on 29/11/2011 05:43
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Sasi Attili - (UK) Wrote:

Wedge shaped proliferation of vascular channels lined by hobnail endothelial cells. Few papillary projections into lumen.Would like to see what perl's shows. However looks like a hobnail haemangioma. DD includes well differentiated Angiosarcoma. However do not see multilayering or significant atypia. KS is also in the diff., but does not look like it. Given the site, I did wonder about Atypical vascular proliferation following radiotherapy. However the vessels there are lymphatic unlike in this picture.

Submitted on 29/11/2011 05:09

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