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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 416 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, pigmented lesion on thigh.


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Admin_Dermpath

Posted

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

It is a deep penetrating nevus for the same reasons as discussed in the earlier case. It confirms the point that I made about melanocytic lesions being problematical for many people. This is of major importance since in the US, they are the greatest source of litigation. It might be a good reason to have a look at the melanocytic atlas that I wrote with Eduardo Calonje as it is filled with multiple examples of these sort of lesions.

Submitted on 12/01/2012 17:20
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Eman El-Nabarawy - Cairo univ. (Egypt) Wrote:

Deep penetrating nevus,again!!

Submitted on 12/01/2012 16:14
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Sasi Attili - (UK) Wrote:

This again looks like a DPN with some spitzoid features.

Submitted on 12/01/2012 16:01
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Pablo Ortega - (Loja-Ecuador) Wrote:

I don´t like it, I´ll go with MM.

Submitted on 12/01/2012 14:51
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A Bansal - BCU HB (North Wales) Wrote:

Plexiform spindle cell nevus (deep penetrating nevus). I cannot see any convincing mitoses. Lesion is symmetrical with wedge shape and some features resembling Reed's nevus.

Submitted on 12/01/2012 13:09
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I. Abdul-kadir - Harrogate District Hospital (UK) Wrote:

Intradermal Spitzoid lesion; the deep pigmentation, absence of maturation & (if I'm correct) deep mitoses make me say, at least, an atypical Spitz naevus.

Submitted on 12/01/2012 13:01
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Mona Abdel Halim - Dermatology Dept. Cairo Univ. (Egypt) Wrote:

Deep penetrating nevus

Submitted on 12/01/2012 12:44

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