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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 1579 - 14 July 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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32 year-old female with left shoulder soft tissue mass.

Dr Hafeez Diwan


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Dr. Mona Abdel-Halim

Posted

Nodular/ proliferative fasciitis (ganglion like giant cells)

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Nitin Khirwadkar

Posted

Nodular/proliferative fascitis.

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Guest Arash Daryakarr

Posted

proliferative fasciitis

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Proliferative faciitis
DD
Ganglioneuroma: background spindle cell proliferation similar to neurofibroma, ganglion cells and spindle cells are positive for neural markers such as S100
Nodular fasciitis: no or very few ganglion-like cells
Proliferative myositis: histologically identical, but intramuscular location
Rhabdomyosarcoma: background spindle cells appear malignant rather than fasciitis-like; rhabdomyoblasts may have striations; desmin+, myogenin+
Sarcoma: large mass, nuclear atypia and pleomorphism in background spindle cells, atypical mitotic figures, often tumor necrosis

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