Jump to content
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 1005 - 30th April 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)

58 year-old male with pink nodule on the left neck.

Case posted by Dr. Hafeez Diwan.


  Report Record

User Feedback


Agree entirely with Romualdo, but would exclude ALCL and DLBCL.

Share this comment


Link to comment
share_externally

nick turnbull

Posted

Hard to see if the epidermis is involved. islands of large epitheliod cells with vesicular nuclei and promnet nucleolous. very pleomorphic. I dont see any keratinisation, prickels etc. Islands surrounded by dense inflamation, predominantly lymphocytes but I think i see plasma cells also. I see those large densely moave cells with the large purple nuclei. I was thinking Lymphomepithelioma like carcinoma also except that it is very rare. pankeratin to highlihgt the epitheliod cells maybe.

Share this comment


Link to comment
share_externally

Dr. Mona Abdel-Halim

Posted

Agree with lymphoepithelioma like carcinoma, will R/o ALCL

Share this comment


Link to comment
share_externally

Mark A. Hurt MD

Posted

Please see my diagnosis on case [url="https://dermpathpro.com/spot-diagnosis-1/_/free-spot-diagnosis-april-2014/april-2014/case-1004-29th-april-r1043"]1004[/url], from yesterday.

MAH

Share this comment


Link to comment
share_externally

I think lymphoepithelial carcinoma is a nice hypothesis and would rule out not only CALCL, but also Rosai-Dorfman disease, despite the atypical cells. Add S-100 to the immunohystochemical painel.

Share this comment


Link to comment
share_externally

Dr. Hafeez Diwan

Posted

Lymphoepithelioma-like carcinoma.

Share this comment


Link to comment
share_externally



Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...

×
×
  • Create New...