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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 1945 - 13 Nov Posted By: Limin Yu

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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59 yo Female, right temporal

Edited by Admin_Dermpath


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vincenzo polizzi

Posted

Chondroid Syringoma, with hyalinized stroma.

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Agree with chondroid syringoma/benign mixed tumor. Cholesterol clefts are curious though.

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Admin_Dermpath

Posted

Don't forget the Liverpool Dermpath Course

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Iskander H. Chaudhry

Posted

Yes agree - does any one think the hyalinsation could be amyloid? 

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Yes, I did think of amyloid and read that its reported in cases of Merkel cell carcinoma. But what are those cholesterol crystal- like things below the tumour?

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vincenzo polizzi

Posted (edited)

I was thinking instead of an odd hyalinized osteochondroid reaction. But maybe I’m wrong. 

Edited by vincenzo polizzi

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Thank everyone for the insightful discussion. This is indeed a mixed tumor of the skin (chondroid syrigngoma). 

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20 hours ago, Iskander H. Chaudhry said:

Yes agree - does any one think the hyalinsation could be amyloid? 

 

The images don't always work well. Actually there is no amyloidosis.  Thank you !!!

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