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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 2549 - 14 April 2020 Posted By: Uma Sundram

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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29 year old female, recently postpartum, with ill defined lesion on right breast.


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dermpath1

Posted

looks hobnail hemangioma.

Atypical vascular proliferation, Kaposi (HHV8), and other vascular neoplasms seems unlikely, provided no risk factors (radioexpoure,....)

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Krishnakumar subramanian

Posted

agree and  any previous history of treatment 

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Difficult out of clinical context. What about a massive localized lymphedema? 

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Meenakshi Batrani

Posted (edited)

Atypical vascular lesion of the breast; Acquired progressive lymphangioma; Kaposi's sarcoma; Acuired lymphagiectasia

?HHV8 or any h/o of radiation

Edited by Meenakshi Batrani

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Uma Sundram

Posted

Hi all, thank you for your thoughtful comments. No prior history of anything, no XRT, HIV negative. Currently lactating. I don't really have a good answer; just throwing this one out there. Our best guess was a prior lymphangioma, distorted by lactation changes. I will give you follow up.

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Dr. Mona Abdel-Halim

Posted

Interesting! I favor also a lymphangiomatous lesion. Any radiological work up!

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