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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 2584 - 02 June 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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45 year old female with new erythematous papule on left cheek.


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Josie Bisi

Posted

Desmoplastic trichoepithelioma - narrow strands of basaloid tumor cells, keratinous cysts, calcifications and a desmoplastic stroma. Face is a common site, the lesion is usually solitary.

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vincenzo

Posted

8 hours ago, Josie Bisi said:

Desmoplastic trichoepithelioma - narrow strands of basaloid tumor cells, keratinous cysts, calcifications and a desmoplastic stroma. Face is a common site, the lesion is usually solitary.

Agree!

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Uma Sundram

Posted

Desmoplastic trichoepithelioma. The only thing to remember is that the top of a microcystic adnexal carcinoma can look similar, and cannot be excluded on a superficial biopsy.

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