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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 2076 - 22 May 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 :
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20 year old woman with a lesion of the left cheek.
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Edited by Admin_Dermpath

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Dr. Richard Carr

Dr. Richard Carr 622

Posted

This is an "odd" naevus, epithelioid, unpigmented group. BAP loss lesion is a good suggestion and would need appropriate enquiry for underlying syndromic association. It needs a complete excision with clear margin. My ball park: melanocytoma/MELTUMP, probably benign behaviour.

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Arif Usmani

Arif Usmani 17

Posted

Agree with BAP-oma (MBAIT- melanocytic BAP-1 mutated atypical intradermal tumor). These lesions usually show an inflammatory response which is noted in the last figure.

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Uma Sundram

Uma Sundram 169

Posted

Great comments. We also noted some atypical features and recommended a re excision. We also favored benign clinical outcome. BAP1 was retained.

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