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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 1213 - 16 February 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 75 year old white man with a shave biopsy of a friable, bleeding lesion taken from the left lower back. Clinical Diagnosis: SCC vs BCC vs other.

Case posted by Dr Mark Hurt
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Go to records February 2015

User Feedback


Guest Romualdo

Guest Romualdo

Posted

In the absence of at least moderate nuclear atypia, necrosis and frank invasion I would call this neoplasm a sebaceoma. Sebaceomas may exhibit frequent mitotic figures.

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

In contrast to the case of Dr Carr, I find this architecture and cytology consistent with Sebaceoma.

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Guest Jim Davie MD

Guest Jim Davie MD

Posted

Agree, sebaceoma. Architecture and cytology appear low-grade.

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amoa7575
White more than blue.Mature sebocytes more than germinative cells.Therefore ,I like to call it Sebaceus adenoma.

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

Agree with sebaceoma on this case. I like the abrupt transition from germinative to mature sebocytes and circumscript borders (I realise I am more benign than most). Would definitely consider Muir Torre.

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