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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 1723 - 4 January - Dr Hafeez Diwan 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: 57 year-old male with nail lesion biopsy.

Case Posted by Dr Hafeez Diwan

Edited by Admin_Dermpath


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Admin_Dermpath

Posted

Happy New Year, here is Dr Hafeez Diwan's first Spot Diagnosis Case for the New Year. Enjoy...

 

Cheers, Geoff Cross - DermpathPRO Projects

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Raul Perret

Posted

If clinical impression was onychomatricoma this biopsy although not typical would be compatible (orientation of nail sections is a known issue in nail pathology, particularly with this tumor). The increased presence of mast cells in the fibrous cores is also a clue for onychomatricoma

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Robledo F. Rocha

Posted

Anastomosing deep multilayered epithelial strands invaginating into the surrounding cellular fibrovascular stroma, suggestive of onychomatricoma.

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vincenzo polizzi

Posted

Completely agree with all. Horizontal sections highlight the typical fibroepithelial projections. Nice fibrovascular stroma. 

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