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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 1801 - 24 April - Dr Limin Yu 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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Clinical History: 25 female, chest nodule.

Case Posted by Dr Limin Yu

Edited by Admin_Dermpath


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vincenzo polizzi

Posted

A pemphigus vulgaris-like acantholitic solitary lesion with papillomatosis and dyskeratosis, makes me thinking of Acantholitic Acanthoma. 

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Nitin Khirwadkar

Posted

Agree, acantholytic acanthoma.

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Admin_Dermpath

Posted

I will swap for Limin's spare case. Just give me 30 minutes

Geoff Cross - DermpathPRO Projects

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Admin_Dermpath

Posted

2 hours ago, vincenzo polizzi said:

A pemphigus vulgaris-like acantholitic solitary lesion with papillomatosis and dyskeratosis, makes me thinking of Acantholitic Acanthoma. 

Case replaced with correct images, sorry for mess up.

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Admin_Dermpath

Posted

2 hours ago, Nitin Khirwadkar said:

Agree, acantholytic acanthoma.

Case replaced with correct images, sorry for mess up.

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Admin_Dermpath

Posted

1 hour ago, Raul Perret said:

and it was indeed AA link

Case replaced with correct images, sorry for mess up.

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vincenzo polizzi

Posted

Agree with Mona. Nice SN or accessory breast tissue. 

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Raul Perret

Posted

Yes polymastia, ectopic breast tissue. 

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Robledo F. Rocha

Posted

Polymastia, or supernumerary breast, once all breast anatomic components, to wit, nipple, areola, and glandular breast tissue, can be found as an ectopic persistence along the milk line besides the normal orthotopic pair of breast.

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Limin Yu

Posted

On 4/24/2017 at 08:37, Admin_Dermpath said:

I will swap for Limin's spare case. Just give me 30 minutes

Geoff Cross - DermpathPRO Projects

Geoff, 

 

Thank you for your hard work!  

 

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Limin Yu

Posted

I concur with profound respect -- this is a supernumerary nipple: it has breast tissue and smooth muscle bundles. You guys rock!

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Admin_Dermpath

Posted

5 hours ago, Limin Yu said:

Geoff, 

 

Thank you for your hard work!  

 

Limin, all my fault, I have now colour-coded files in Dropbox folder so shouldn't happen again. Cheers, Geoff

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