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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.
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Case Number : Case Number : Case 1902 - 12 Sept - Dr Richard Carr Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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F40. Abdomen. ?vascular malformation.

Edited by Admin_Dermpath


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Admin_Dermpath

Posted

Dear All! Good morning!

 

We have now added the immuno proflie to Richard's case. 

Many thanks to Richard for the time he takes to provide the educational cases

DermpathPRO Admin 

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Raul Perret

Posted

I found it challenging. I am happy to have put DFSP in my differential as Vincenzo. IHC is mandatory here (CD34, S-100, EMA, etc) and even molecular tets for demonstrating COL1A1-PDGFB. For me the variant here is rather plaque like/atrophic with myxoid areas, particular findings are the localization (mainly deep dermis) and clinical impression (vascular malformation??) 

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vincenzo polizzi

Posted

"For me the variant here is rather plaque like/atrophic with myxoid areas, particular findings are the localization (mainly deep dermis)"...

Agree with you Raul! I would have preferred named this myxojaline variant, but don't know this. Maybe sclerosing could be a better adjective...

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Dr. Richard Carr

Posted

Agree with atrophic & sclerotic DFSP. I only did the CD34 given the H&E features. Well done chaps. Quality responses.

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