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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 1576 - 11 July 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)
The patient is a 60 year old white woman with a shave excision taken from the right lower back.

Dr Mark Hurt
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  Report Record
Go to records July 2016

User Feedback


Raul Perret

Raul Perret 262

Posted

My interpretation of this lesion is that we have a displastic compound nevus (mildly to moderately atypical) on the left of the image that transitions to a melanoma in situ on the right of the image. I imagine a MELTUMP would come to the discussion here but for me the overall difference of architecture, large expansile nests on the right part of the lesion, massive compromise of the adnexae (mainly sweat ducts), size of the lesion alotgether with the topography and age of the patient makes me favour melanoma in situ + dysplastic nevus

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vincenzo polizzi

vincenzo polizzi 185

Posted

I see 3 combined contiguous melanocytic lesions: an intradermal nevus ( Far Left ), a compound dysplastic nevus ( Left/Medium ), a melanoma in situ ( Right )...agree with Raul.

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Nitin Khirwadkar

Nitin Khirwadkar 63

Posted

Agree with the comments above. Moderate and severe dysplasia, with occasional foci concerning for in-situ change.

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