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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 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.
Submitted Date :
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26 year-old male with a left hand 4th web space soft tissue tumor.


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Richard Logan

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

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Krishnakumar subramanian

Posted

malignant tumor- epithelioid cell type

IHC panel is needed

could it be metastasis

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Meenakshi Batrani

Posted

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

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Richard Logan

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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