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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 1956 - 28 Nov 2017 Posted By: Dr. Richard Carr

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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M40. Toddler banged head against his face. Developed a nodule over 4/12. USS: 2cm hypoechoeic nodule ?sebaceous cyst.

Edited by Admin_Dermpath


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Raul Perret

Posted

sorry, watched the case too quickly. Agree with you guys that this is myofibroblastic, first hypothesis should be Nod fasciitis as you guys remarked. I still think that I would perform ALK-1 in a case like this though, due to the sclerosing areas

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Agree with nodular fasciitis but with the history of trauma, some monster cells and lipidized areas, dermatofibroma will be a differential diagnosis very difficult to exclude.

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Dr. Richard Carr

Posted

I thought this a nice example of nodular fasciitis. I did not do any stains.

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Dr. Mona Abdel-Halim

Posted

Late but first impression was nodular fasciitis!

 

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