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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 1639 - 6 October 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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54 year-ole male with right hand first dorsal web space lesion.

Case Posted by Dr Hafeez Diwan


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Admin_Dermpath

Posted

Here is Dr Hafeez Diwan's second posting for this week, a very interesting case.

 

Once you have given solved this puzzle pop back to the home page and check out Dr Wolter Mooi in his Video Case of the Week presentation recorded at last November's Manchester Dermatopathology Update Course.

 

Cheers, Geoff Cross

AV and Data Limited

DermPathPro Projects

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vincenzo polizzi

Posted

Aggressive Papillary Digital Adenocarcinoma ( I would prefer to define this lesion "aggressive adenoma" because aggressive and adenocarcinoma are redondant together ...but I adapt myself to the scientific community language )

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Nitin Khirwadkar

Posted

Aggresive digital papillary adenocarcinoma.

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Typical histological and clinical localization (acral) for Aggresive papillary digital adenocarcinoma.

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Dr. Richard Carr

Posted

I confess on the images (without reading the clinical or comments) I was also for papillary adenoma! Would probably want to see it excised fully as we cannot assess the architecture here.

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Dr. Hafeez Diwan

Posted

I called it digital papillary adenocarcinoma given the anatomic location.

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Guest pagost2000

Posted

Aggressive Papillary Digital Adenocarcinoma is the most probably diagnostic here (male, 54 yo, localisation, solitary lesion and histologic findings), nevertheless we have to eliminate a metastasis of a papillary adenocarcinoma (Colon, thyroid, lung, etc... ) with immunochemistry and clinical investigations.

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