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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 1735 - 20 January - Dr Richard A Carr 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: Spot Diagnosis

Case Posted by Dr Richard A Carr


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Admin_Dermpath

Posted

A tidy case to wrap up the week by Dr Richard A Carr.

 

Geoff Cross - DermpathPRO Projects

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vincenzo polizzi

Posted

Looks like something with oncocytic differentiation, similar to, for example, a lymphocytic stroma poor Warthin tumor or a oncocytoma. May be I'm wrong...we don't know the topography of the lesion, but...I was thinking of an ocular adnexal oncocytoma.

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Dr. Mona Abdel-Halim

Posted

Agree with Vincenzo .. oncocytoma

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Arti Bakshi

Posted

Agree completely with Vincenzo! This is probably an eyelid lesion, as can see conjunctival epithelium on one surface. Interestingly, I was at the Royal Society of Medicine dermatology meeting in London yesterday and a rather similar case of primary cutaneous oncocytoma was presented in the CPC section.

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Robledo F. Rocha

Posted

Agree with Vicenzo. Solid-cystic lobulated oncocytic adenoma with some mucinous cells lining cystic spaces. Hidradenoma with predominant oxyphilic cellular population may be a point, but I cannot imagine a hidradenoma exclusively composed of this type of cells. Also, site favors oncocytic adenoma as at the periphery of the images one can find structures of the eyelid, including Meibomian sebaceous glands of the tarsal plate, and squamous stratified conjunctival epithelium with mucinous goblet cells.

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Nitin Khirwadkar

Posted

Agree with Vincenzo, oncoccytoma. Lovely case.

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Dr. Richard Carr

Posted

Well done this is an oncocytic adenoma of the conjunctival caruncle. A nice spot diagnosis.

Enjoy your weekends.

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