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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 1532 - 09 May 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 44 year old woman with an excision of a 1.5 x 1.9 cm pinkish-tan dermal nodule taken from the right lower back.

Dr Mark Hurt.


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Raul Perret

Posted

DFSP. Differential diagnosis spindle cell lipoma

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Guest Arash Daryakarr

Posted

agree with DFSP

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vincenzo polizzi

Posted

Nooooo! May be it's a Solitary Fibrous Tumor, because there is too much sclerotic bands in subcutaneous component...

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Nitin Khirwadkar

Posted

DFSP. Would test for t(17;22).

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vincenzo polizzi

Posted

Sorry. You are all right!!! I thought wrong because of thick collagen strands, but there are many winning clues for DFSP: entrapment of eccrine glands, lace-like intercalation with fat, storiform pattern...

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Mark A. Hurt MD

Posted

Congrats, everyone.  Yes, this is DFSP without any fibrosarcomatous components.

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