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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 2908 - 30 August 2021 Posted By: Dr. Mona Abdel-Halim

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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"M, 67 Erythema and marked induration affecting the skin of the neck and upper chest of progressive nature since 1 month"


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Krishnakumar subramanian

Posted

metastatic deposits skin 

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Richard Logan

Posted

Yes, cutaneous metastases, probably adenocarcinoma.  Fits the clinical description of carcinoma en cuirasse.

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msofopoulos

Posted

Metastasis, could be gastric (low cohesion-signet ring) or urothelial

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Dr. Mona Abdel-Halim

Posted

Yes, this was metastatic adenocarcinoma (carcinoma en cuirasse). Extensive radiological and endoscopic work up did not lead to discovery of any primary origin. Patient has been treated as metastatic carcinoma of unknown primary. 

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