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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. 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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User Feedback


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

Posted

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

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Mark A. Hurt MD

Posted

Sclerotic fibroma. Does the patient have Cowden's?

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Dr. Mona Abdel-Halim

Posted

Yes sclerotic fibroma (storiform collagenoma)..

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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

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

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

Posted

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

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Dr. Hafeez Diwan

Posted

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

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