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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 1762 - 28 February - 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: 70 year old man with lesion on scalp.

Case Posted by Dr Uma Sundram


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Admin_Dermpath

Posted

Here is the final Spot Diagnosis Case for February, a nice case from Dr Uma Sundram

 

Geoff Cross - DermpathPRO Projects

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vincenzo polizzi

Posted

First thought Metastatic Pulmonary Adenocarcinoma. 

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Alice Roberts

Posted

Metástasis, could be pulmonary... check ck7, ck20, ttf1, clinical history of internal malignancy

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Dr. Mona Abdel-Halim

Posted

First thought metastasis for work up

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Raul Perret

Posted

Agree with metastatic papillary adenocarcinoma for ihc and cpc

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Nitin Khirwadkar

Posted

Agree, metastatic adenocarcinoma. ? Lung ? prostate

 

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Uma Sundram

Posted

Yes, metastatic adenocarcinoma. It is CK7 and TTF1 positive, and p63 is essentially negative. The clinicians are working the patient up for primary lung disease. I'm uploading picture of TTF1.

SD-US-140-F7.jpg

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