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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 2116 - 17 July 2018 Posted By: Iskander H. Chaudhry

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)

Courtesy of Dr Magda Mikhail:

Male 78 years nodular ulcerated lesion on the side of the neck


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John Zhang

Posted

Lymphoepithelioma-like carcinoma.

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anh

Posted (edited)

Great idea. But definitely need cytokeratin stain to prove that. Otherwise, lymphoma, follicular dendritic sarcoma in the differential diagnosis. The type of case that one cannot make the diagnosis based just on H&E.

Edited by anh

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John Zhang

Posted

Totally agree with Anh. In real life In would't dare to sign out the case without the confirmation of a cytokeratin. 

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Difficult case for me!  In other sites ( lymph node ) I would think of a follicular dendritic cell tumor ...But agree with Colleagues, in this context. 

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Dr. Mona Abdel-Halim

Posted

I also thought of lymphoepithelial like carc

 

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