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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 4000! You can review the archived cases and read the suggested diagnoses by users and the final comment by the contributors.
Case are uploaded each week day by 10 am UK time with the correct diagnosis will generally be posted at 8 pm UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 2479 - 6 January 2020 Posted By: Iskander H. Chaudhry

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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M, 79 Right cheek, incisional biopsy. Ulcerated, nodule right cheek
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Go to records January 2020

User Feedback


Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

Favor one of the aggressive cytotoxic TCLs either: extranodal NK-TCL or gamma-delta TCL. Will ask for CD3, CD5, CD7, CD4, CD8, CD30, TIA, Granzyme, CD56, TCRgamma, EBER.

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Krishnakumar subramanian

Krishnakumar subramanian 0

Posted

anglocentric atypical lymphoid lesions

agreed we need the markers

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IgorSC

First hypothesis: extranodal (and extranasal) NK-T cell lymphoma. CD56 and EBER are of great help. Second hypothesis: infectious disease. I would perform Grocott stain and look for leishmania as well.

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vincenzo

I don't know what kind of lymphoma this is, without IHC. CD56+/EBER+ Ly is a nice suggestion. 

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Admin_Dermpath

Admin_Dermpath 1,217

Posted

Dr Chaudhry - all too clever and caught out !! Herpes infection 

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