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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 2995 - 29 December 2021 Posted By: Dr. Hafeez Diwan

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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26 year-old male with a left hand 4th web space soft tissue tumor.
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Go to records December 2021

User Feedback


Richard Logan

Richard Logan 0

Posted

I don't like the cellular pleomorphism and tissue necrosis.  I am thinking along the lines of epithelioid sarcoma, peripheral type.

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sfwenson

I'm also concerned about epithelioid sarcoma.  Too atypical for GCTTS.

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Krishnakumar subramanian

Krishnakumar subramanian 0

Posted

malignant tumor- epithelioid cell type

IHC panel is needed

could it be metastasis

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Meenakshi Batrani

Meenakshi Batrani 0

Posted

Yes I am also suspicious of epitheioid sarcoma. Needs IHC.

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Richard Logan

Richard Logan 0

Posted

On 31/12/2021 at 04:28, Krishnakumar subramanian said:

malignant tumor- epithelioid cell type

IHC panel is needed

could it be metastasis

I don't think I have ever seen a metastasis on the hand of a 26 year old, or indeed on anyone's hand, regardless of age.  A primary tumour is much more likely

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