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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 2228 - 24 December 2018 Posted By: Limin Yu

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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79M, pubic lesion


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I see a verrucous lesion with viral cytopathic changes and endophytic, pushing growth. I think it is Buschke-Lowenstein tumor (giant condyloma). Needs complete excision to remove the lesion and make sure that there is no deeper, true invasion.

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Alex-Ventura-Leon

Posted

Difficult. I go for viral changes so I agree with Giant Condyloma and also I see some areas of High-grade dysplasia.

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I wonder if HPV typing in this specimen can help. It can be a rather inexpensive test.

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Dr. Richard Carr

Posted

Agree with differentials but looks like a poroma.

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Thank you for the great discussion.  This is a verrrucous tumor with poroid features and high grade dysplasia. It's a porocarcinoma. 

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