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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 1298 - 15 June Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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The patient is a 55 year old white woman with a shave removal of an enlarging and occasionally painful nodule, present for years, taken from the right superior helix. Clinical Diagnosis: R/O IFEP.

Case posted by Dr Mark Hurt


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Dr. Mona Abdel-Halim

Posted

FSCH (folliculosebaceous cystic hamartoma) with excess adipose tissue in the stroma.

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Agree. I think this is the edge of a folliculosebaceous cystic hamartoma.

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Mark A. Hurt MD

Posted

Here's my diagnosis:

[b]-- FOLLICULO-SEBACEOUS HAMARTOMA WITH PROMINENT ADIPOSE TISSUE[/b]
[b]COMMENT: [/b] The differential includes a lipomatous hamartoma and a folliculo-sebaceous cystic hamartoma with lipomatous stroma. I favor the latter in this case. I don't see evidence of malignancy.

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