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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 2371 - 23 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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60 year old woman with solitary, slowly enlarging pigmented vulvar lesion. R/o melanoma.

Edited by Admin_Dermpath


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Krishnakumar subramanian

Posted

same slide as previous

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Uma Sundram

Posted

Sorry about that!

I'll have a new one posted when my time comes up again. 

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Admin_Dermpath

Posted

Hi all, apologies for the confusion. This has been corrected, and the right slides and clinical history are now featured!

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Dr. Richard Carr

Posted

I suspect last two slides are still confounders!

Melanoma is NOT ruled out.

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Uma Sundram

Posted

Hi everyone,

Richard, thanks for the update. I didn't realize the staff had uploaded the correct case.

Yes, we were between a lichenoid lesion and a regressing melanoma. Stains were unhelpful. We asked that the lesion be completely excised.

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