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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.
Case are uploaded each week day by 10 am UK time with the correct diagnosis will generally be posted at 8 pm UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 2131 - 9 August 2018 Posted By: Raul Perret

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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70 year old male with a 28 mm lesion on the hand.
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Edited by Admin_Dermpath

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

What about angiomatoid fibrous histiocytoma?

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anh

Angiomatoid fibrous histiocytoma usually has a fibrous capsule and is associated with a dense lymphoplasmacytic infiltrate so that it sometimes looks like a lymph node under low power.

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Raul Perret

Raul Perret 262

Posted

I called this a vascular malformation with areas of thrombosis. The blood vessels have thick walls and a haphazad arrengement. The spindle cells are reactive probably due to recanalization of the thrombus. No vacuolated pseudoadipocytic cells were seen either (typically seen in spindle cell hemangioma)

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