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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 2478 - 3 January 2020 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. Longstanding lump, left scalp. Clinically - sebum evident beneath skin.


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Difficult, but agree with Eman. Cystic Panfolliculoma. 

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Dr. Mona Abdel-Halim

Posted

Such a beautiful and marvelous cystic panfolliculoma...fascinating lesion :-)

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Dr. Richard Carr

Posted

I labelled this a proliferating and verrucous pilar cyst with sebaceous differentiation (including sebaceous ductal differentiation) with papillary mesenchymal bodies. i.e. a mixed folliuclar-sebaceous lesion. Today when I looked at the images on the system blind I also went for cystic panfolliculoma! Does anyone have any references?

It's benign and academic I guess!

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Dr. Mona Abdel-Halim

Posted


 

19 hours ago, Dr. Richard Carr said:

I labelled this a proliferating and verrucous pilar cyst with sebaceous differentiation (including sebaceous ductal differentiation) with papillary mesenchymal bodies. i.e. a mixed folliuclar-sebaceous lesion. Today when I looked at the images on the system blind I also went for cystic panfolliculoma! Does anyone have any references?

It's benign and academic I guess!

https://www.ncbi.nlm.nih.gov/m/pubmed/16519571/
 

https://www.ncbi.nlm.nih.gov/m/pubmed/27550230/

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