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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 1787 - 04 April - Dr Uma Sundram Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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Clinical History: 41 year old man with lesion on right long finger.

Case Posted by Dr Uma Sundram

Edited by Admin_Dermpath


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Admin_Dermpath

Posted

Dr Uma Sundram has a case for you today which has got me wondering what the significance is of it being from Long Finger?!?

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Raul Perret

Posted

Spindle cell hemangioma. Even if we still have to perform HHV8 immunohistochemistry I dont think this is kaposi.

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vincenzo polizzi

Posted

Sometime the matematica is useful in surgical pathology diagnosis, so:  Kaposi's Sarcoma-like features Cavernous Hemangioma-like features = Spindle Cell Hemangioma! :-)

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vincenzo polizzi

Posted

Glad noting Raul's impression is the same!

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Dr. Mona Abdel-Halim

Posted

Agree with spindle cell hemangioma 

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Nice case! Agree.The location is also typical.

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Nitin Khirwadkar

Posted

Lovely case, spindle cell haemangioma.

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Robledo F. Rocha

Posted

Agree with my colleagues. A well-circumscribed acral vascular lesion comprising dilated cavernous blood channels alternating with kaposiform slit-like spaces immersed in a fascicular spindle cell stroma also makes me think of spindle cell hemangioma.

About Geoff's query, the typical site of this alleged non-neoplastic reactive vascular process is distal extremity, including the long finger, an anatomic region prone to alterations in blood flow, the most likely hypothesis concerning the pathogenesis of this entity.

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Admin_Dermpath

Posted

17 hours ago, Robledo F. Rocha said:

Agree with my colleagues. A well-circumscribed acral vascular lesion comprising dilated cavernous blood channels alternating with kaposiform slit-like spaces immersed in a fascicular spindle cell stroma also makes me think of spindle cell hemangioma.

About Geoff's query, the typical site of this alleged non-neoplastic reactive vascular process is distal extremity, including the long finger, an anatomic region prone to alterations in blood flow, the most likely hypothesis concerning the pathogenesis of this entity.

 

I knew I would learn something one day from you all  :-)

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