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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 1996 - 30 Jan 2018 Posted By: Uma Sundram

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)
50 year old woman with 0.7 mm lesion on tip of nose. What are your management recommendations?
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  Report Record
Go to records January 2018

User Feedback


Anil Patki

Tricholemmal horn and cyst. Conservative excision should be enough

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urmila1

based on the last image would consider a desmoplastic trichilemmoma

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anh

I like desmoplastic trichlilemmoma. Definitely desmoplastic

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

Tricholemmoma. I've seen one case recur (must have seen >100 cases by now) but I think watch and wait is reasonable. It's one of the most commonly missed diagnoses in my experience and occasionally over-called.

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

Forgot to say I've neither seen nor heard of malignant transformation.

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Uma Sundram

Uma Sundram 169

Posted

Yes, desmoplastic trichilemmoma. I did recommend watch and wait. Never seen these go bad; am not sure I even remember a recurrence, actually.

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