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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 957 - 21st February Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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Vulva. Spot Diagnosis

Case posted by Dr. Richard Carr.


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Dr. Mona Abdel-Halim

Posted

Steatocystoma (sebaceous cyst). In case of no attached sebaceous lobules, some call it sebaceous duct cyst.

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Guest Engn Sezer

Posted

Steatocystoma, nice eosinophilic corrugated inner membrane.

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Mark A. Hurt MD

Posted

Interesting. It looks like the structure of a steatocystoma, but it lacks sebaceous lobules. There are a few articles on steatocystomas of the vulva, not many:

http://www.ncbi.nlm.nih.gov/pubmed/?term=Steatocystoma+vulva

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Guest Romualdo

Posted

Yes, sebaceous duct cyst (cutaneous keratocyst) is the suggested term to cysts resembling steatocystomas in all aspects but not showing atached sebaceous glands after extensive sectioning.

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Guest Romualdo

Posted

[quote name='Dr. Mona Abdel Halim' timestamp='1392972213'] Steatocystoma (sebaceous cyst). In case of no attached sebaceous lobules, some call it sebaceous duct cyst. [/quote]
Mona, I think sending a second comment is a more apropriate form to change or ameliorate one's previous comment than to edit it.

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Dr. Mona Abdel-Halim

Posted

Dear Romualdo, I did not change my diagnosis, or think of another diagnosis. I just added a comment that I thought of. This is why I used the "edit" option. You can go to all previous cases on this website, in case I think of another diagnosis, or discover a mistake in my opinion, I never use the "edit" option and I send another comment. I think this has just happened last Friday when I diagnosed symplastic hemangioma and you diagnosed ancient shwannoma and I wrote a second comment that ancient schwannoma is an excellent diagnosis and I agree with it... This is just to clarify... Hope to have an opportunity to meet you one day :-)

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Dr. Richard Carr

Posted

I called it steatocystoma (probably multiplex) and commented that familial cases had been reported (must have done a google or medline like mark but I did not hear anything back). I am very happy to accede to sebaceous duct cyst.
Enjoy your weekends.

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Robledo F. Rocha

Posted

Since both steatocystoma and so-called sebaceous duct cyst [url="http://link.springer.com/article/10.1007/BF00509068"]differentiate toward sebaceous duct[/url] and, thereby, are indistinguishable relying on their wall morphology, discrimination between one another is an academicism exercise.

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