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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 1054 - 8th July 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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The patient is a 68 year old woman with a shave biopsy of a shiny papule on the left cheek.

Case posted by Dr. Mark Hurt


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User Feedback


Trichilemmoma (with sebaceous differentiation).

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Guest Romualdo

Posted

Nests of poroid cells connected to the undersurface of the epidermis, tubular structures lined by eosinophilic cuticular cells and aggregations of vacuolated mature sebocytes: apocrine poroma with sebaceous differentiation.

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Dr. Mona Abdel-Halim

Posted

Nice suggestions, but why not just part of a sebaceoma/ sebaceous epithelioma?

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IgorSC

Posted

I believe Dr. Mona is right, this lesion must be part of a Sebaceoma.

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Eman El-Nabarawy

Posted

Poroma with sebaceous differentiation.

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Robledo F. Rocha

Posted

Lobules composed predominantly of germinative basaloid cells with admixed mature sebocytes. Ductal and follicular differentiation can also be seen. So, I favor sebaceoma.

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