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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 2752 - 22 January 2021 Posted By: Dr. Richard Carr

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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M65. Right posterior distal calf (over upper achiles tendon). 8 x 8mm. ?Cyst, ?Viral wart, ?benign keratosis.


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Alex-Ventura-Leon

Posted

Superficial Angiomyxoma (aka Cutaneous Myxoma)

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Carmen Lisievici

Posted

Superficial angiomyxoma

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tyelaine

Posted

Dermal myxoid nodular area with abundant blood vessels and scattered inflammatory infiltrate. Agree superficial angiomyxoma. Need to exclude Carney complex especially if younger.

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vincenzo

Posted

Another diff could be an Achilles Tendon ganglion cyst...

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Meenakshi Batrani

Posted

Agree with either myxoma or ganglion cyst

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Dr. Richard Carr

Posted

I thought this was a cutaneous myxoma / superficial angiomyxoma and mentioned the association with Carney's complex. So far I've never confirmed a case that had Carney's. It had been reported as a cutaneous mucinous cyst but those are usually associated with a joint (ganglionic type) or related to local recurrent trauma. This lesion was not near a joint and I think recurrent trauma unlikely at the location (lack of lichenification etc.).

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tyelaine

Posted

Nice classical case, thanks Richard for sharing. I have yet to see a case with Carney's too!

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DR NADINE BURKE

Posted

myxoma for me

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