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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 675 - 15 Jan Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)
72 years old male, lesion on back.
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Go to records January 2013

User Feedback


Guest Hazem Hamed

Guest Hazem Hamed

Posted

Desmoplastic trichoepithelioma.

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Guest Dr. Francisco Vílchez

Guest Dr. Francisco Vílchez

Posted

Nice desmoplastic trichoepithelioma

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Actually I can't R/O a BCC with both micro nodular and infiltrative components.

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Mostly a recurrent one also, hence the scarring,,

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Azza Esmat
I prefer Desmoplastic trichoepithelioma due to absence stromal retaraction, dense fibrous stroma, calcification.

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Guest A Z
I agree with the above DD, however, I would prefer DTE. Ber-Ep4 and Ck-20 are helpful in differetiating between them.

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Guest Dr Engin Sezer

Guest Dr Engin Sezer

Posted

Absence of keratin cysts is against DTE. I'd suggest desmoplastic BCC and BER-EP4 and BCL2 to R/O trichoblastoma.

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Iskander H. Chaudhry

Iskander H. Chaudhry 49

Posted

Desmoplastic trichoepithelioma is the correct diagnosis.

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