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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 2401 - 12 September 2019 Posted By: Raul Perret

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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Lip tumor in a middle age adult.

Edited by Admin_Dermpath


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Peripheral nerve sheath tumor.Neurofibroma /Perineurioma

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Agree with Nerofibroma

important differentiation towards Messner bodies   ?recidivant type  

 

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Agree with the differential diagnoses so far. I would add spindle cell lipoma.

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Raul Perret

Posted

Good differential. This was a diffuse type neurofibroma. This variant frequently affects the head and neck area and around 10% are seen in the context of NF1. The presence of  a DFSP-like architecture with entrapment of adnexae is a good hint towards this diagnosis. Moreover, pseudomeissnerian bodies like the one seen in the last picture are found frequently. Cheers

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