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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 1455- 21 January 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)
Case History: 69 year-old male with a left lateral thigh mass.

Case posted by Dr Hafeez Diwan
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  Report Record
Go to records January 2016

User Feedback


Raul Perret

Raul Perret 262

Posted

I think this is myofibroma to confirm with IHQ SMA, Desmin, s-100,cd34,

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

The first image gives the impression of a capsulated lesion, thinking myxoid schwannoma for IHC.

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Guest Romualdo

Guest Romualdo

Posted

Agree with Raul. Biphasic pattern is evident, with hemangiopericytic vessels in the cellular blue areas.

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Nitin Khirwadkar

Nitin Khirwadkar 63

Posted

Myofibroma. Areas of hyalinisation, with resultant pseudochondroid appearance.

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

You guys are probably right.  I was also thinking about intravascular nodular fasciitis (probably a long shot)

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vincenzo polizzi

vincenzo polizzi 185

Posted

Multinodular proliferation with zonal pattern.  Peripheral pale hyalinized zones with vaguely chondroid or myxoid appearance, and central zones of intravascular growth, with cellular hemangiopericytic appearance: 

agree with adult Myofibroma.

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Dr. Hafeez Diwan

Dr. Hafeez Diwan 125

Posted

I just posted yesterday's diagnosis.  Sorry for the delay!  (It was scabies with leukemia cutis.)

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