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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 1321 - 16 July 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 33-year-old female with a left thumb tumor.

Case posted by Dr Hafeez Diwan


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Guest Romualdo

Posted

Yes, nodular fasciitis! Very rare location!

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I would add as a differential diagnosis Superficial acral fibromyxoma. SMA and CD34 would help to differentiate.

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Agree with nodular fasciitis. To add to Romualdo's comment, in Shimizu's review of 250 cases, there were 7 cases on the hands, including 3 on the fingers and 1 on the thumb.

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Dr. Mona Abdel-Halim

Posted

Yes, nodular fasciitis.

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Dr. Hafeez Diwan

Posted

Nodular fasciitis. SMA was positive.

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