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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 1218 - 23 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 52-year-old man with a punch biopsy of dome-shaped, pink-tan nodule with positive dimple sign on the left buttock.

Case posted by Dr Mark Hurt


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Dr. Mona Abdel-Halim

Posted

Agree.. Pigmented DFSP (Bednar) tumor..

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Dr. Richard Carr

Posted

Myxoid DFSP certainly must but high on the list but something is holding me back (obviously CD34 could help). DFSP usually have a storiform pattern and clearly distinguished collagen and elastic fibres. I thought it had a diffuse neurofibroma-like look as well (would do S100 and because of site MelanA as well although it does not look like blue naevus). A low-grade MPNST and desmoplastic melanoma are other considerations.

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