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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 2058 - 26 April 2018 Posted By: Iskander H. Chaudhry

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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20 year female

Mid right cheek 4mm punch biopsy changing lesion present since birth. Pale whitish smooth papule

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vincenzo polizzi


Please Dr Iskander. What’s the diagnosis of case 2053?

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Apologies for very late post! Dr Chaudhry's diagnosis as follows:


Skin with part of a dermal basaloid tumour with sclerotic stroma forming cords of cells with superficial keratocysts and osseous metaplasia. No atypia or malignancy seen.
The differential lies between a desmoplastic trichoepithelioma and syringoma - I favour the former.

Dr Iskander Chaudhry

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