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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 2051 - 17 April 2018 Posted By: Uma Sundram

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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90 year old man with ill defined patch, 4 x 3 cm, on scalp.

Edited by Admin_Dermpath

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Uma Sundram


Angiosarcoma. The history is interesting. 90 year old man with smaller patch on temporal scalp called 'benign' and watched for two years. The patch continued to grow and a second patch appeared; the first patch was then biopsied and yielded this biopsy. Issues here include informed consent (patient has moderate dementia), difficulty in making an 'early' diagnosis of angiosarcoma, and treatment options in someone in this age group.

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