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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 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.
Submitted Date :
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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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Go to records January 2021

User Feedback


Richard Logan

Richard Logan 0

Posted

Metastatic adenocarcinoma - favour GI tract primary.

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Alex-Ventura-Leon

Alex-Ventura-Leon 0

Posted

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

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Leila Ahmed

Leila Ahmed 0

Posted

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

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Victor Delgado

Victor Delgado 6

Posted

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

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

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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