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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 2313 - 29 April 2019 Posted By: Limin Yu

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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51F, vulva


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Meenakshi Batrani

Posted

 I would prefer syringoma. Lower portion shows some ductular structure, occasional with comma shaped extension. Some syringomas may have superficial keratin filled cysts in superficial dermis, which need to be distinguished from trichoepithelioma. 

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Alice Roberts

Posted

Both of above good considerations. I’m favoring TE 

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Alex-Ventura-Leon

Posted

I see signs of eccrine differentation so I favor Syringoma

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Dr. Mona Abdel-Halim

Posted

I am thinking of trichoadenoma

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John Zhang

Posted

I favor syringoma with squamous metaplasia and  granulomatous inflammation secondary to rupture. Syringoma with squamous metaplasia is not uncommon at the vulva site, but follicular neoplasms are probably less common at this site. Besides, TE and trichoadenoma are usually biphasic lesions with stromal changes (fibrosis). Here I think there is no stromal change.

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