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?

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Case Number : Case 2399 - 10 September 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 :
   (0 reviews)

85 year old male with lesion on back. Please comment on stage.

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Dr. Richard Carr

Posted

Sorry Uma I had mean't case 2371 (not 2372). It is a vulval case.

Not sure what this one is. Actinic keratosis with subtle dysplasia crossed my mind.

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Uma Sundram

Posted

Hi everyone,

My apologies for the clinical story. It's not correct (not the staff's fault-I gave them the wrong history!). The correct clinical is "65 year old woman with vulvar lesion". Please let me know what you all think based on this new history.

Also richard, I went back to case 2371 and put in an update. Thanks for catching that.

 

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Uma Sundram

Posted

Yes, differentiated VIN. One of the better examples I've seen, which does a good job of showing what atypia should look like in this lesion. The atypia may be more subtle than this, which is the pitfall for most practitioners.

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