Jump to content
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 1291 - 04 June Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)

67 year-old with biopsy from left back.

Case posted by Dr Hafeez Diwan


  Report Record

User Feedback


Guest Romualdo

Posted

What is the patient's sex?

Share this comment


Link to comment
Share on other sites

Arti Bakshi

Posted

There appears to be an 'Indian file' pattern of infiltration by tumour cells. First thought is metastatic lobular Ca of Breast (presumably that is the reason for Romualdo' question!), Will need immunos however to exclude lymphoma/leukaemia/merkel cell etc.

Share this comment


Link to comment
Share on other sites

Hanan Vaknine MD

Posted

The emphasis on the well preserved Grenz zone and the immunoblastic and plasmablastic character of the cells, together with the absence of accompanying small lymphocytes are suggestive of DLBCL-leg type, however in figures 5&6 the cells appear somewhat cohesive (metastatic carcinoma?). The prominent nucleoli and the vesicular chromatin is less convening of Merkel cell carcinoma in my opinion, but I am keeping an open mind.

Share this comment


Link to comment
Share on other sites

DLBCL vs. metastatic carcinoma.

Share this comment


Link to comment
Share on other sites

Dr. Mona Abdel-Halim

Posted

Lymphoma (DLBCL) vs. metastatic carcinoma

Share this comment


Link to comment
Share on other sites

Dr. Hafeez Diwan

Posted

Male patient. Leukemia cutis. THe patient had leukemia.

Share this comment


Link to comment
Share on other sites

Dr. Hafeez Diwan

Posted

I have posted yesterday's diagnosis as well.

Share this comment


Link to comment
Share on other sites

Guest Romualdo

Posted

My first thought is granulocytic sarcoma , followed by metastatic breast carcinoma, if the patient is a female.

Share this comment


Link to comment
Share on other sites



Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...

×
×
  • Create New...