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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 1141 - 6th November 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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38 year-old male with a right ring finger mass.

Case posted by Dr. Hafeez Diwan.


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Guest Romualdo

Posted

I would like to suggest superficial acral fibromyxoma.

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Dr. Richard Carr

Posted

Good suggestion, especially if the first IHC is CD34 and not EMA

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Dr. Hafeez Diwan

Posted

I didn't label the immuno, but RIchard is right, the first immuno is CD34, and the second one is S-100. I called this superficial acral fibromyxoma.

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Digital - Dermal tumour - Spindled and stellate-shaped cells - Cells strongly expressing CD34 - S100 negative – The cells intersect at various angles resembling the weaving of a doormat (storiform pattern) - Myxoid / collagenous stroma - Superficial acral fibromyxoma or cellular digital fibroma (benign tumour) – [url="http://www.actasdermo.org/en/superficial-acral-fibromyxoma-a-cd34/articulo/90122581/"]One of the spindle-cell tumours expressing CD34[/url].

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