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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 1955 - 27 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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No Clinical Details.

Edited by Admin_Dermpath


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urmilapandey

Posted (edited)

on first 4 images thought of glomangioma but on subsequent images and given the hyaline deposits and possibility of lymphocytic infiltration, would favour eccrine spiradenoma

Edited by urmilapandey

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vincenzo polizzi

Posted

Agree with Urmilapandey. Benign eccrine spiradenoma ( if cutaneous... in oral cavity and salivary gland based, basaloid and canalicular adenoma ). 

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Raul Perret

Posted

Agree. Spiradenoma, The differential with glomus tumor can be difficult sometimes. Pic 6 shows some ducts, which help rule-out glomus tumor

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IgorSC

Posted (edited)

Nice case. Picture 4 was almos diagnostic of glomus tumor for me, but the last 2 pictures are really compatible with eccrine spiradenoma.

Edited by IgorSC

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I agree this is spiradenoma. Glomus tumor is a close differential diagnosis and sometime it can be very difficult to tell them apart. 

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Alice Roberts

Posted

I vote for spiradenoma but considered glomus tumor

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Are there lymphocytes in the tumor nests? I thought I see lymphocytes. So most likely spiradenoma

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