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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 1950 - 20 Nov 2017 Posted By: Limin Yu

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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45 yo F, right cheek


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vincenzo polizzi

Posted

Trichofolliculoma, sebaceous type and multiple   

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Arif Usmani

Posted

An alternative diagnosis would be Folliculosebaceous cystic hamartoma 

 

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vincenzo polizzi

Posted

Challenging distinguishing between FSCH and STF for me, because not sure about specific stromal changes, but like very much this alternative spot ( pic 6 seems show the fibrovascular changes with some adipocytic component ).  

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Nitin Khirwadkar

Posted

Sebaceous trichofolliculoma. Agree with DD of FSCH. Regarded by some as same. Don't have Kazakovs book next to me for reference.

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Thank everyone for your insightful discussion. I signed out this case as FSCH. As it was pointed out, it is closed related to sebaceous TF -- they might represent different stages of one entity. 

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