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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 2068 - 10 May 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 :
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91 years old female with right midline forehead lesion
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Go to records May 2018

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Anil Patki

Anil Patki 4

Posted

Basal cell carcinoma with sebaceous differentiation

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vincenzo polizzi

vincenzo polizzi 185

Posted

Sebaceoma...ductal differentiation is commonly present, although here it’s a bit exaggerated. 

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

Sebaceoma. BerEP4 is invariable negative or only focally weakly/moderately positive while EMA would be limited to the mature sebocytes (about 50% staining in the latter).

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Admin_Dermpath

Admin_Dermpath 1,212

Posted

Diagnosis from Dr Chaudhry:

Thank you everyone, the final diagnosis was as Richard mentioned a Sebaceoma. The tumour was negative for BerEp4 and showed patchy positivity for EMA, limited to mature sebocytes!!!

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