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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 759 - 15th May 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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45 years-old female, with right thigh lesion. Clinical impression: dermatofibroma.

Case posted by Dr. Hafeez Diwan.
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Guest Dr Engin Sezer

Guest Dr Engin Sezer

Posted

Papillary eccrine adenoma

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Guest Bansal_

Guest Bansal_

Posted

Papillary eccrine adenoma

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Guest Romualdo C. L, Filho

Guest Romualdo C. L, Filho

Posted

It doesn't make any difference to the patient but I think I can see some decapitation secretion and would call this lesion papillary apocrine adenoma.

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Guest
Papillary eccrine adenoma

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Robledo F. Rocha

Robledo F. Rocha 336

Posted

I prefer call this tubulopapillary hidradenoma instead of papillary eccrine adenoma or tubular apocrine adenoma, once evidence of both eccrine and apocrine differentiation can be found in the same lesion.

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

I think decapitation secretion is evident in the last two images, this will make me diagnose this lesion as tubular apocrine adenoma, other names: apocrine adenoma, tubular papillary hidradenoma, papillary tubular adenoma.

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Guest Rodrigo Restrepo

Guest Rodrigo Restrepo

Posted

Papillary apocrine adenoma

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Guest Jim Davie MD

Guest Jim Davie MD

Posted

Agree. Tubular apocrine hidradenoma. Mixed eccrine and apocrine features in the simpler glands. Eccrine spiradenoma features in a subset of cribriform glands. No high grade atypia.

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Dr. Hafeez Diwan

Dr. Hafeez Diwan 125

Posted

I called this a papillary eccrine adenoma, but I do see the apocrine features (and so it could be called a tubular apocrine adenoma as well).

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