Jump to content
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 1853 - 05 July - Dr Diwan Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)

62 year-old female with breast carcinoma. This biopsy is from the left axilla.


  Report Record

User Feedback


vincenzo polizzi

Posted

Hydradenitis suppurativa. There isn’t any infundibular compromision in this case, as demonstration that apocrine glands initiating event is possible sometimes...

Share this comment


Link to comment
share_externally

Admin_Dermpath

Posted

Good Morning ! Post from Dr Hafeez. 

Share this comment


Link to comment
share_externally

nick turnbull

Posted

Looking on my I phone so difficult. Eccrine dyskeratotic cells. Neitrophilic inflamation. Have they had chemotherapy?

Share this comment


Link to comment
share_externally

Raul Perret

Posted

My impression was also hidradenitis supurativa and because of the previous history i thought of exacerbation of the disease secondary o radiation. Here an article 

Share this comment


Link to comment
share_externally

vincenzo polizzi

Posted

Thanks for tips, Raul. A very interesting article. 

Share this comment


Link to comment
share_externally

Dr. Mona Abdel-Halim

Posted

Lovely case. Agree with hidradenitis. 

Share this comment


Link to comment
share_externally

Robledo F. Rocha

Posted

Cutaneous extension of a mammary apocrine carcinoma is the main source of concern, but the lack of overall features of invasive breast malignancy and the presence of abscess formation with inflammatory involvement of apocrine glands by neutrophilic infiltrate make the diagnosis of hidradenitis suppurativa more likely.

Share this comment


Link to comment
share_externally

Saman Fatah

Posted

I wondered about the possibility of Neutrophilic Eccrine Hideradenitis (NEH) especially in someone in her 60s with a background of a cancer and likely recent exposure to chemotherapy. Relatively late age for start of HS.

Share this comment


Link to comment
share_externally

Nitin Khirwadkar

Posted

Neutrophilic eccrine hidradenitis. ? Chemotherapy induced.

Share this comment


Link to comment
share_externally

Dr. Richard Carr

Posted

Apocrine adenitis next to an abscess - looks like hidradentitis supurativa without the history. Nice pigment in the apocrine glands. I'd have to ask if NEH can be seen in the apocrine glands?

Share this comment


Link to comment
share_externally

Saman Fatah

Posted

Note sure what the final diagnosis was in this case (NEH vs HS) as no comment from Hafeez as yet.

Richrad, below is a link to an article in AJDP which probably address your question (from the Abstract, not read it in detail).

https://www.ncbi.nlm.nih.gov/pubmed/9056658

Share this comment


Link to comment
share_externally

Dr. Hafeez Diwan

Posted

I was out of town last week, so here is a late posting.  Neutrophilic eccrine hidradenits secondary to chemotherapy.

Share this comment


Link to comment
share_externally



Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...

×
×
  • Create New...