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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 2366 - 16 July 2019 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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25 year old woman, post partum, with enlarging vulvar mass.

Edited by Admin_Dermpath


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Sincerely it's difficult for me, but Vulvar Aggressive Angiomyxoma could be a good spot. 

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Victor Delgado

Posted

Agree with Vincenzo, Aggressive Angiomyxoma.

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Meenakshi Batrani

Posted

Agree with aggrresive angiomyxoma

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Young female reproductive years, superficial lesion, hypo/ hyper cellular areas with rich vascular component. plump to spindled cells clustered around blood vessels. all these findings are suggestive of angiomyofibroblastoma. usually desmin positive.  most of the aggressive angiomyxoma is deep infiltrating lesion in older women. no such plumped spindle cells clustered around vessels. so not to me here..

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Krishnakumar subramanian

Posted

looks like a pyogenic granuloma

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A

10 hours ago, HENRY said:

Young female reproductive years, superficial lesion, hypo/ hyper cellular areas with rich vascular component. plump to spindled cells clustered around blood vessels. all these findings are suggestive of angiomyofibroblastoma. usually desmin positive.  most of the aggressive angiomyxoma is deep infiltrating lesion in older women. no such plumped spindle cells clustered around vessels. so not to me here..

Agree

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Uma Sundram

Posted

Hi everyone! This is a tough one. I never gave you the size of the lesion, which is always so helpful. This is it; imaging studies showed no residual tumor. We also considered the possibility of a decidualized angiofibroma or fibroepithelial polyp. Desmin is negative, which argues against angiomyofibroblastoma.

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Uma Sundram

Posted

It's a very small tumor (about 1 cm in size) and superficial which argues against deeper and larger lesions such as aggressive angiomyxoma.

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Ok. It's probably a fibroepithelial polyp. So I'm just thinking about our job...we have everyday to ( or want? ) to name by all means all lesions.  But I think sometimes we could just suggest a benign or malignant nature of the lesion ( if possible off course ) and declare our difficulty to make a pretty good diagnosis.

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Dr. Richard Carr

Posted

Descriptive report following by - looks reactive. I can't make a specific diagnosis (is always a good line!). Better than saying "non-specific".

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