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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 1383 - 12 October 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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70 years male; 4 cm mass in the subcutis of left shoulder

Case posted by Dr Iskander Chaudhry


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Guest Romualdo

Posted

I think there are very few large, basophilic, ganglion-like cells. Another possibility is intramuscular nodular fasciitis, a related lesion.

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Iskander H. Chaudhry

Posted

Well done everyone for the correct diagnosis. This is not a common lesion we will find in our routine dermatopathology however you all made the correct diagnosis because the features are very distinctive.

The final diagnosis reported is Proliferative fasciitis/ proliferative myositis.

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