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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 1463 -02 February 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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Case History: 25 year old make with lesion in right groin.

Case posted by Dr Hafeez Diwan


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vincenzo polizzi

Posted

Subcutaneous mucin granuloma with epidermal cyst: ?Deep granuloma annulare. Difficult!!!

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Dr. Richard Carr

Posted

Case 1461 (Friday's) now has the original H&E images posted.

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vincenzo polizzi

Posted

Yes. Superficial angiomyxoma is more convincing...

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vincenzo polizzi

Posted

I have some suggestion of a large blocca vessel With a mixoid trombus. Like trombus from attualmente myxoma. It's top tricky fit me.

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Hanan Vaknine MD

Posted

Epidermal inclusion cyst and silicone granuloma, or alternatively with encapsulated fat necrosis  

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Hanan Vaknine MD

Posted

Or other filler (Hyaluronic acid), for penile enhancement in a young male

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Raul Perret

Posted

To be honest I am not sure, I think that small nodule of mucinous material surrounded by histiocytes is indeed due to a foreign material. The topography of the lesion is somewhat disorienting, I would use polarized light to see if there is some birrefringence in those microcystic/vacuolar áreas. 

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can the STD like syphilis or other disease in the chronic phase make such pathological changes

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Mark A. Hurt MD

Posted

I do see a cyst, but could this be a steroid injection in the last 3 photos?

 

By the way, I posted my answer to Monday's case here.

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Dr. Hafeez Diwan

Posted

Yes, this is a cyst, with steroid injection in the last 3 photos.

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vincenzo polizzi

Posted

Thanks to all you: i'm learning and growing in this web site.

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