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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 746 - 25 Apr Posted By: Guest

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13 months-old Hispanic male with multiple left arm masses.

Case posted by Dr. Hafeez Diwan.


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Guest Amira Tawdy

Posted

I think of spindle cell lipoma or angiolipoma but since the lesions clinically are multiple and considering the young age , clinically I think this favours more angiolpoma ( both variants of lipomas show myxoid areas as shown in fig 4 I HOPE I AM ON THE RIGHT TRACK

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Guest Romualdo C. L. Filho

Posted

Beautifully illustrated case of fibrous hamartoma of infancy!

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Agree with beautiful fibrous hamartoma of infancy

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Guest Rodrigo Restrepo

Posted

Fibrous hamartoma of infancy

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Dr. Mona Abdel-Halim

Posted

Fibrous hamartoma of infancy. Usually it is a single lesion. Multiple tumors are rare. For the multiplicity, I woundered about myofibromatosis but the configuration is totally different. So it is an interesting case of multiple fibrous hamartomas of infancy.

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Guest Bansal_

Posted

Agree, fibrous hamartoma of infancy.

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I agreee with Fibrous hamartoma of infancy. If you see case 94, october 2010, you can see some differences with the spindle cell lipoma, like the primitive mesenchymal cells in well defined nests we see here. The age is also different between the two disease.

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Robledo F. Rocha

Posted

I would prefer call this lipofibromatosis instead of fibrous hamartoma of infancy because lesions are multiple rather than solitary and occur in the arm rather than shoulder. Both share the microscopic picture of mature fat interspersed by streaks of cellular fibrous tissue.
What bothers me is a feature that is supposed to be exclusively found in fibrous hamartoma of infancy, I mean those small organoid spherules of primitive round cells.

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Dr. Hafeez Diwan

Posted

It is true that multiple lesions are unusual, but I went with fibrous hamartoma of infancy.

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Guest Jaime Mejía MD

Posted

Multiple fibrous hamartomas of infancy. Enzinger could have been exulted with it. Myofibroblasts are the culprit cells apparently; so, myofibroblastoma family traits are present in this lesion. Heard of a case with hypertrichosis.

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