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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 1233 - 16 March 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 53-year-old man with an excision taken from the posterior aspect of the right forearm. Clinical Diagnosis: R/O sebaceous cyst.

Case posted by Dr Mark Hurt


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Dr. Mona Abdel-Halim

Posted

I also thought of intravascular PG. SMA stains the pericytes but the endothelial cells are negative. Besides the lobular pattern with capillaries is typical of PG.

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Eman El-Nabarawy

Posted

First impression intravascular Pyogenic granuloma.

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Looking at picture 1 again, the lesion appears intravascular, which I missed at first glance. Agree with intravascular pyogenic granuloma.

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Guest Jim Davie MD

Posted

Intravascular pyogenic granuloma.
The SMA stain nicely highlights the circumferentially oriented smooth muscle fascicles of the parent vessel wall.

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