Jump to content
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 1023 - 26th May Posted By: Admin_Dermpath

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 51 year old man with: A - a shave biopsy taken from the central occiput, and B - a punch biopsy taken from the anterior aspect of the right shoulder.

Case posted by Dr. Mark Hurt.


  Report Record

User Feedback


Eman El-Nabarawy

Posted

Apocrine hidrocystoma.

Share this comment


Link to comment
share_externally

Mark A. Hurt MD

Posted

[b]Note[/b]: The biopsy is from the scalp and was thought to be a basal cell carcinoma.

Share this comment


Link to comment
share_externally

Robledo F. Rocha

Posted

I think this is tubular adenoma with cystic change. Deeper sections may reveal the characteristic lobule of multiple irregularly shaped tubular structures lined by apocrine epithelium.

Share this comment


Link to comment
share_externally

Dr. Mona Abdel-Halim

Posted

My first impression was something totally different based on morphology and clinical presentation of two lesions. I think this is a cutaneous metastasis of a well differentiated apocrine carcinoma. I do perceive some nuclear hyperchromasia, some prominent nucleoli and vesicular nuclei in the last image. The primary may be apocrine axillary carcinoma, apocrine carcinoma of male breast, apocrine penile carcinoma...or others. In view of the suggestions above, am I out of the track?!!!!

Share this comment


Link to comment
share_externally

Mark A. Hurt MD

Posted

My diagnosis was apocrine cystadenoma, multiloculated. The shoulder lesion was melanoma in situ; I included it as a foil, but it was irrelevant to this scalp lesion.

Share this comment


Link to comment
share_externally



Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...

×
×
  • Create New...