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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 2743 - 11 January 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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M74, Firm cutaneous and subcutaneous nodules and plaques over the scalp, trunk and extremities of progressive course since 5 months associated with fatigue and generalized bone pains.


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Richard Logan

Posted

Metastatic adenocarcinoma - favour GI tract primary.

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Alex-Ventura-Leon

Posted

Yes, metastatic adenocarcinoma. GI tract its a good possibility.

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Leila Ahmed

Posted

We also need cdx2, ttf1 please. Adenocarcinoma.:)

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Victor Delgado

Posted

Metastatic adenocarcinoma, could be lung. We need more IHC here.

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Eman El-Nabarawy

Posted

Metastatic adenocarcinoma for IHC.

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Dr. Mona Abdel-Halim

Posted

Thank you all!. CK20 was negative. It thought of lung or thyroid origin, however no further IHC was done on the skin biopsy as results of chest CT and abdominopelvic CT came as follows: left upper lung lobe spiculated neoplastic mass lesion (likely bronchogenic carcinoma) with nodal, adrenal, widespread osseus and muscular, peritoneal and subcutaneous metastatic deposits. The patient was referred to the Oncology Dept. 

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DR NADINE BURKE

Posted

did they request EGFR if primary lung

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