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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 2594 - 16 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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55 year old male with new left cheek erythematous lesion. R/o BCC.


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Josie Bisi

Posted

Hidradenoma x Dermal ductal tumor

 

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Benign mixed tumor ( chondroid syringoma ).

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19 hours ago, vincenzo said:

Benign mixed tumor ( chondroid syringoma ).

Agree

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John Zhang

Posted

To me this is an adnexal neoplasm with sweat gland differentiation. Looks benign. I considered both hidradenoma and chondroid syringoma. The lack of discrete duct structures makes me favor hidradenoma. 

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Josie Bisi

Posted

It's missing the chondroid component, syringomatoid ducts and the plasmocytoid infiltrate for Mixed Tumor.

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Krishnakumar subramanian

Posted

? endocrine mucin secreting tumor

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Uma Sundram

Posted

I thought this showed overlapping features of both Hidradenoma and chondroid syringoma. Importantly, not a BCC! The other important issue is to exclude a pleomorphic adenoma with extension from the parotid, since the lesion is on the cheek.

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