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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 2252 - 30 January 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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57 year-old female with left lower eyelid lesion


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Krishnakumar subramanian

Posted

multinodularity/papillary/mucin/-Endocrine mucin producing sweat gland carcinoma-no invasive component in sections studied

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I'm happy sharing the same diagnosis with my Colleagues, because thought a lot of an apocrine hidradenoma, solid-cystic variant, but I considered the small round-oval cells in fig4 and last fig as endocrine type and finally concluded for EMPSGC.

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Dr. Hafeez Diwan

Posted

Endocrine mucin-producing sweat gland carcinoma. ER, PR, synaptophysin and chromogranin were positive.

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