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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 2845- 02 June 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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67 year-old female with right medial canthus lesion.


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Richard Logan

Posted

The colour balance has been distorted by attempts at digital colour correction.

There is a small, superficial dermal tumour composed of islands of basaloid cells forming ductal structures set in a sclerotic stroma .  To my eye there is a degree of mild pleomorphism in the cells lining the ducts.  No epidermal connection is visible, nor keratocysts or calcification.

Desmoplastic trichoepithelioma is possible, but I am worried by the cellular pleomorphism.  I would also think of microcystic adnexal carcinoma, but it would be a small early tumour without all the usual features.

I'm fishing about a bit here!

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Krishnakumar subramanian

Posted

agree  could be MAC

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Dr. Hafeez Diwan

Posted

I called this clear cell syringoma.  I apologize for the color - I am not sure what happened here.

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vincenzo

Posted

I’m late. Syringoma for me, too. 

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Yousra

Posted

Syringoma, basaloid islands with focal ductal differentiation and tadpole appearance, in a sclerotic stroma, the max is well circumscribed and not infiltrating, excluding MAC

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