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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 1972 - 20 Dec 2017 Posted By: Iskander H. Chaudhry

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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Male 70 years, Punch biopsy left temple


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vincenzo polizzi

Posted

Irritated Seborrheic Keratosis...a bit odd. 

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Uma Sundram

Posted

My concern would be for a well differentiated invasive cystic SCC, especially in a 70 year old on the face.

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Do the coarse keratohyaline granules suggest a viral etiology? Also, what is the significance of pigment incontinence and granulomatous infiltrate?

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Iskander H. Chaudhry

Posted

Dear All I have added the BerEp4 so my question is: 

1. Is this a basisquamous carcinoma?

2. BCC with reactive squamous proliferation adjacent to it ?

3. Other!

 

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Difficult to explain all the features under one heading. Looks like BCC + inflamed SK + granulomatous rosacea

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urmilapandey

Posted

basal cell carcinoma associated with a ruptured inclusion epidermoid cyst like lesion

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Dr. Mona Abdel-Halim

Posted

I go for basosquamous for further correlation with the excised specimen

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Uma Sundram

Posted

Still worried about a keratoacanthomatous invasive SCC.

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Dr. Richard Carr

Posted

This is a BCC. PEH is most likely although KA can occur with BCC etc. Not worried for SCC here.

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