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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 561 - 2 Aug 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 36 years with a small nodule on her trunk.

We are grateful to Dr. Richard Carr who has provided this case.
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  Report Record
Go to records August 2012

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Admin_Dermpath

Admin_Dermpath 1,217

Posted

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

My ever challenging area in dermatopathology !!! I think the clue is in the 3rd and 4th images. We have chracteristic thick rope like collagen, myxoid background, slender spindle cells and vascular spaces. I thought of spindle cell lipoma. Interestingly, I have read in McKee's Pathology of the Skin that this tumor may contain few or even no adipocytes at all !! Hope I am correct.

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Dr. Phillip McKee

Dr. Phillip McKee 130

Posted

Sorry Mona, the diagnosis is neurofibroma with myxoid change. You are quite right about spindle cell lipoma. Sometimes there are very few adipocytes particularly with dermal examples and one has to make the diagnosis based on the other features.

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