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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 1193 - 19th January 2015 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 41 year old white woman with a lesion on the right columella which appears like a squamous papilloma, present for two months. A scissor biopsy of a 1 mm hyperkeratotic, palpable, pearly, well marginated, red elevated mass is taken from the right nasal columella.

Case posted by Dr Mark Hurt
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Go to records January 2015

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Yes, fibrous papule of the nose, clear cell variant.

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

I'd be thinking that too but would certainly be inclined to run quite a few IHC stains to see what the cells are.

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