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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 2307 - 17 April 2019 Posted By: Dr. Hafeez Diwan

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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61 year-old male with biopsy of chest lesion


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Dr. Mona Abdel-Halim

Posted

Solitary circumscribed neuroma is my first thought

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Alex-Ventura-Leon

Posted

Fully agree with Mona.

My spot is also a Solitary Circumscribed Neuroma.

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Krishnakumar subramanian

Posted

plexiform neurilemmoma

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Meenakshi Batrani

Posted

Solitary circumscribed neuroma 

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Agree with encapsulated palisated neuroma or SCN. 

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John Zhang

Posted

On 16/04/2019 at 19:05, Krishnakumar subramanian said:

plexiform neurilemmoma

I thought about schwannoma, too but I favor SCN because of the superficial nature of the lesion and the lack of thick-walled vessels. In theory Neurofillament stain will show more axons in SCN then schwannoma but I don't use this stain. 

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Dr. Hafeez Diwan

Posted

Palisaded encapsulated neuroma.

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