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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 1502- 28 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 69-year-old man with an excision of a lesion on the left anterior neck.

Case posted by Dr Mark Hurt
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Go to records March 2016

User Feedback


vincenzo polizzi

vincenzo polizzi 185

Posted

Metastatic adenosquamous carcinoma ( bronchial? upper airway? )

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Met adenocarc for work up

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Guest Arash Daryakarr

Guest Arash Daryakarr

Posted

Hard to fit with any primary cutaneous tumors. i consider metastatic adenocarcinoma and suggest Immuno and taking history of possible neoplasms.

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Arti Bakshi

Arti Bakshi 286

Posted

Agree with metastatic adnecocarcinoma. Would consider lung and liver as the most likely primaries (the latter due to trabecular pattern and prominent nucleoli).

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Raul Perret

Raul Perret 262

Posted

I find this case really challenging. On my differential, I couldnt completely discard  a primary adnexal neoplasm, some features made me think of ACC and cribiform apocrine carcinoma from kazakov, although some features are lacking for both entities. The tumor is based on the dermis, has clearly a dual cell population, marked cellular pleomorphism and is well circumscribed so metástasis has to be ruled out. A good panel of immunos as well as CPC should help find the diagnosis. To your excelent differential of cutaneous metástasis I would add prostate adenocarcinoma

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