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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 963 - 3rd March 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 62 year old man with a shave biopsy of a 5 x 4 mm pinkish-tan, hyperkeratotic papule taken from the medial aspect of the left cheek.


Case posted by Dr. Mark Hurt


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Dr. Mona Abdel-Halim

Posted

Desmoplastic trichilemmoma

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Eman El-Nabarawy

Posted

Desmoplastic trichilemmoma.

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Robledo F. Rocha

Posted

Agree, desmoplastic tricholemmoma.

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Mark A. Hurt MD

Posted

[img]https://dermpathpro.com/uploads/spot_diagnosis_comment_img/CASE963_Image%2006.jpg[/img]
[img]https://dermpathpro.com/uploads/spot_diagnosis_comment_img/CASE963_Image%2007.jpg[/img]

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Guest Tiberiu Tebeica

Posted

nice desmoplastic trichilemmoma

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Mark A. Hurt MD

Posted

Yes, this is desmoplastic tricholemmoma. I thought it was an interesting case because the lesion lost its affinity for CD34 in the desmoplastic zone -- a pearl to consider in very small biopsies.

Thanks for all your correct diagnoses!

PS. Thank you, Sameen, for posting the immunos.

MAH

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