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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 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 :
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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.


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Eman El-Nabarawy

Posted

Apocrine hidrocystoma.

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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.

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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?!!!!

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