Jump to content
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 1342 - 14 August Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)
M30. Cyst on cheek

Case posted by Dr Richard Carr
picture-1
picture-2
picture-3
picture-4
picture-5
  Report Record
Go to records August 2015

User Feedback


IgorSC
Looks like a foreign body reaction with cystic formation. Figure 3 shows vacuoles similar to silicon and the next figures shows calcified material and some pigments I don´t know what they are. I would ask if the patient was submited to any cosmetic procedure.

Share this comment

Link to comment
share_externally
IgorSC
Please, Dr. Richard Carr, can you tell us the diagnosis of the case 1337?

Share this comment

Link to comment
share_externally
Dr. Richard Carr

Dr. Richard Carr 622

Posted

[img]https://dermpathpro.com/uploads/spot_diagnosis_comment_img/Case%201342%20-%20RAC7198x20_4pm.jpg[/img]

[img]https://dermpathpro.com/uploads/spot_diagnosis_comment_img/Case%201342%20-%20RAC7198x40b_4pm.jpg[/img]

[img]https://dermpathpro.com/uploads/spot_diagnosis_comment_img/Case%201342%20-%20RAC7198x40c_4pm.jpg[/img]

Share this comment

Link to comment
share_externally
Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Foreign body granulomatous reaction to an injectable filler material. Could be silicone but I have seen silicone granulomas before, they tend to form vacuoles of variable sizes and shapes..

Share this comment

Link to comment
share_externally
Guest Romualdo

Guest Romualdo

Posted

I think these round spaces of similar shape and size are not adipocytes but polymethylmethacrylate microspheres and this is Artecoll-related granuloma.

Share this comment

Link to comment
share_externally
IgorSC
I agree with PMMA. Their microspheres are monomorphic and shows translucent non-birefringent material.

Share this comment

Link to comment
share_externally
Guest Romualdo

Guest Romualdo

Posted

Dr. Richard Carr, what was the diagnosis of case 1337?

Share this comment

Link to comment
share_externally
Dr. Richard Carr

Dr. Richard Carr 622

Posted

This is a a foreign body reaction to keratin flakes, seen in image 5 (presumed previously ruptured epidermoid cyst of long standing hence the dystrophic calcification). In an HIV positive patient receiving anti-retroviral drugs who has lipoatrophy (note uniform size of fat cells and lack of refractile or foreign material).

Thanks to Dr Nick Tiffin for sharing this wonderful case with me!!

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...