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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 1098 - 8th September 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 77-year-old woman with a shave biopsy of a single lesion on the right flank area.

Case posted by Dr. Mark Hurt


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Robledo F. Rocha

Posted

Melanoma is a good point, and an epidermotropic metastasis must be considered.

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Mark A. Hurt MD

Posted

The clinical diagnosis was AK vs BCC vs SK

Here is my diagnosis:

SKIN, RIGHT FLANK , SHAVE BIOPSY :
[b]-- MELANOMA (pT4b) *[/b]
[indent=1]- Breslow measurement at least 5.45 mm[/indent]
[indent=1]- Clark Level at least IV[/indent]
[indent=1]- Ulcerated[/indent]

I also saw the definitive excision, and almost none of this lesion remained. As far as I know, this is a primary neoplasm.

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