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 2342 - 7 June 2019 Posted By: Dr. Richard Carr

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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M80. Left thigh. Clinically BCC


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vincenzo

Posted

Yes. Syringofibroadenoma is a good spot. Typical elongated ductal epithelial strands and richly vascularized stroma of venous insufficiency.

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Alex-Ventura-Leon

Posted

Eccrine Syringofibroadenoma. The differential is with a Acrosyringeal Nevus (Maybe the same entity)

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Dr. Richard Carr

Posted

Well done. My report:

Striking superficial lesion comprising anastomosing cords of eccrine duct-like structures that form a lattice in the papillary dermis connecting to the epidermis. Quite prominent inflammatory cell infiltrate with numerous plasma cells. Surface inflammatory crusting. No obvious dysplasia or associated neoplasm. The lesion fits with either eccrine acrosyringeal naevus or so-called eccrine syringofibroadenoma (the former regarded as a hamartoma and the latter a reactive process).  Radial margin: 3mm.

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