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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 2615 - 15 July 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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68-M, Excision left upper lip. Warty lesion excised with narrow margin. Previous Cryotherapy. ?KA ?SCC


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Richard Logan

Posted

Trichilemmoma.  I am not sure of the significance of the perivascular, rather granulomatous inflammatory response and mucin deposition.

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Agree with Richard. My hypothesis for the atypical infiltrate is: LyP or some myeloprolipherative lesion, as chronic myeloid leukemia. It needs IHC and CPC. 

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The circumscribed and superficial dermal infiltrate isn’t LyP-like, so some myelodysplastic or myeloproliferative syndrome are more probable. 

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Dr. Mona Abdel-Halim

Posted

Trichilemmoma

IHC to verify the infiltrate

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