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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 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.
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20 year old woman with a lesion of the left cheek.

Edited by Admin_Dermpath


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Dr. Richard Carr

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

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

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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