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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 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.
Submitted Date :
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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

Richard Logan 0

Posted

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

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vincenzo

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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vincenzo

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

Dr. Mona Abdel-Halim 508

Posted

Trichilemmoma

IHC to verify the infiltrate

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