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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 1288 - 01 June 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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54 years female; mass at the angle of mandible measuring 3 cm; sudden enlargement; separate from parotid gland on ultrasound

Case posted by Dr Iskander Chaudhry


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Dr. Mona Abdel-Halim

Posted

? Cutaneous Leiomyosarcoma
Any immunos, SMA, Desmin, Ki67?

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Dr. Richard Carr

Posted

Looks fibrohistiocytic and loosely storiform. Thinking cellular DF v's DFSP v's low grade myofibroblastic sarcoma v's spindle AFX v's melanoma. Agree with Mona, IHC will be helpful - hopefully!

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Hanan Vaknine MD

Posted

Nodular fasciitis

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Guest Romualdo

Posted

Agree with Hanan: nodular fasciitis.

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Cellular nodular fasciitis. I think the site, size and duration all support this.

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Mark A. Hurt MD

Posted

I also favor nodular fasciitis. There is a delicate growth pattern — like a tissue culture.

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Iskander H. Chaudhry

Posted

[font=arial, sans-serif][size=3]Well done all for your contributions - yes the diagnosis was [/size][/font][color=#1C2837][font=arial, verdana, tahoma, sans-serif][size=4]nodular fasciitis.[/size][/font][/color]

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