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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 4000! You can review the archived cases and read the suggested diagnoses by users and the final comment by the contributors.
Case are uploaded each week day by 10 am UK time with the correct diagnosis will generally be posted at 8 pm UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 1863 - 19 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)
75 year-old male with right hand lesion.
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  Report Record
Go to records July 2017

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Anil Patki

Anil Patki 4

Posted

Ruptured trichilemmal (or hybrid?) cyst with foreign body reaction

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vincenzo polizzi

vincenzo polizzi 185

Posted

My first thought is superficial angiomyxoma.  The second one is cutaneous nodular fasciitis with entrapped follicular cyst. Useful a CD34 stain(pos in angiomyxoma). 

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urmilapandey

urmilapandey 15

Posted

agree with Vincenzo, favour superficial angiomyxoma. epithelial inclusions are described, although this one is quite big.

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Raul Perret

Raul Perret 262

Posted

The neutrophils seen in the last image are alsp a nice clue for superficial angiomyxoma. I think the topography is just a bit infrequent (acral) and may bring the differential with superficial acral fibromyxoma. Nevertheless, the histologic features seen are for me in keeping with SA.

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Dr. Hafeez Diwan

Dr. Hafeez Diwan 125

Posted

Superficial angiomyxoma.

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Lovely, I am late but also thought of sup angiomyxoma

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