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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 1561 - 20 June 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 75-year-old man with a shave biopsy of a pearly, telangiectatic papule on the right ventral medial proximal forearm.

Dr Mark Hurt


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Dr. Mona Abdel-Halim

Posted

Sebaceoma/ Muir Torre syndrome

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Nitin Khirwadkar

Posted

Sebaceoma. The prominent cystic change and lymphocytic infiltrate prompt ruling out MTS.

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vincenzo polizzi

Posted

Initially Invasive Sebaceous Carcinoma ( odd extra ocular site ). It needs ruling out MTS!

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Guest Charlie Keen

Posted

Agree sebaceoma. No convincing infiltrative growth pattern. There is some pleomorphism/mitotic activity but not enough to suggest sebaceous carcinoma to me. But there is necrosis, so i'm not 100% sure on this distinction in this case.

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Cystic sebaceous adenoma/neoplasm of Muir-Torre syndrome.

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