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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 1986 - 15 Jan 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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56 male, right foot mass

Edited by Admin_Dermpath


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spindle cell lesion, moderately cellular, not really appreciate mitotic activity or cytologic atypia, no necrosis, elongated collapse vessels in Fig 3 and Fig. 7. I usually associate that type of vessels with fibromatosis. I think it's Ledderhose disease.

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Alternating hypocellular and hypercellular areas and fibrous stroma suggest solitary fibrous tumour

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Dr. Richard Carr

Posted

Some IHC has been posted from last Friday's case.

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Can some bod explain to me the abbreviation IBR?

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vincenzo polizzi

Posted

Plantar fibromatosis is a good spot...nice typical vessels with typical perivascular clear spaces.

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11 hours ago, dermpath1 said:

Can some bod explain to me the abbreviation IBR?

I think it means insect bite reaction.

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Thank everyone for the insightful discussion. This is a plantar fibromatosis. 

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