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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 845 - 12th September 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)
65-year-old female with right wrist lesion.


Case posted by Dr. Hafeez Diwan.
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  Report Record
Go to records September 2013

User Feedback


Guest Saleem Taibjee

Guest Saleem Taibjee

Posted

Not too sure about this one. Rather featureless collagenous lesion.
My differential includes burnt out dermatofibroma, scar or collagenous fibroma.

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Guest Maria George

Guest Maria George

Posted

Agree wth Dr Engin, sclerotic fibroma.Some people believe it is a variant of dermatofibroma.
Nice playwood pattern.

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Yes sclerotic fibroma (storiform collagenoma)..

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Guest Alexandra Betts

Guest Alexandra Betts

Posted

I agree with storiform collagenoma/ sclerotic fibroma. The laminated collagen with whorling and the hypocellularity are in keeping with this diagnosis.

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

My only other thought was to do an EMA to rule out sclerosing perineurioma but agree probably sclerotic fibroma.

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Robledo F. Rocha

Robledo F. Rocha 336

Posted

Agree with my colleagues: sclerotic fibroma. Case history suggests a solitary lesion, what makes less likely a relationship with Cowden disease.

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Guest Jim Davie MD

Guest Jim Davie MD

Posted

[quote name='Guest' timestamp='1378981347']
Sclerotic fibroma, nice Plywood pattern
[/quote]
Agree.

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Dr. Hafeez Diwan

Dr. Hafeez Diwan 125

Posted

Sclerotic fibroma. This was a solitary lesion. The patient does not have Cowden's.

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