Jump to content
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 2786- 11 March 2021 Posted By: Saleem Taibjee

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)

Excision nodule left forearm, known pulmonary sarcoid ?cutaneous sarcoid ?dermatofibroma ?other


  • Like 1
  • Thanks 1
  Report Record

User Feedback


yuriy shatovsky

Posted

Carcinoma adnexal skin tumor or metastatic adenocarcinoma .

 

Share this comment


Link to comment
Share on other sites

vincenzo

Posted

Thinking of Porocarcinoma...after ruling out any kind of mts of course!

Share this comment


Link to comment
Share on other sites

Saleem Taibjee

Posted

Unfortunately the full set of images has not been provided. Hence attaching the others now.

20210104_Blk_5190-2.jpg

S21-1708_1.2x.jpg

S21-1708_2.0x.jpg

S21-1708_5.0x.jpg

S21-1708_10.0x.jpg

 

Share this comment


Link to comment
Share on other sites

Richard Logan

Posted

Primary cutaneous cribriform (apocrine) carcinoma vs. primary cutaneous adenoid cystic carcinoma.

Share this comment


Link to comment
Share on other sites

vincenzo

Posted

Yes! Primary Cutaneous Cribriform Carcinoma. 

Share this comment


Link to comment
Share on other sites

Alex-Ventura-Leon

Posted

Agree with above. Primary Cutaneous Cribriform Carcinoma.

Share this comment


Link to comment
Share on other sites

Meenakshi Batrani

Posted

Agree with primary cutaneous cribriform carcinoma

Share this comment


Link to comment
Share on other sites

Krishnakumar subramanian

Posted

yes, agree  with  cutaneous cribriform apocrine carcinoma, but duration and the lung lesion is it biopsy proven sarcoid is needed sir

Share this comment


Link to comment
Share on other sites

Abkadirrifaei73

Posted

Metastatic ca must be excluded.. 

Share this comment


Link to comment
Share on other sites

Saleem Taibjee

Posted

Yes, well done, this is primary cutaneous cribriform apocrine carcinoma. This is a recent case which came to me in routine sign out. It is the first such case I have personally seen, so I think it must be rather uncommon. But the histology is so distinctive, and remarkably similar to this publication: Rutten A, et al. J Am Acad Dermatol 2009;61:644-51. The patient also seems to fit into the correct dermographic group.

I did request some immunos, but not really convinced that these took me much further forward. CK7, in particular, was positive (shown below).

I must admit that the histology looked so typical that I don't think this is a metastasis.

BW
Saleem

S21-1708 A_2-3-2021_12-45-11_2.0x CK7.jpg

Share this comment


Link to comment
Share on other sites

Dr. Mona Abdel-Halim

Posted

Beautiful!

 

Share this comment


Link to comment
Share on other sites

Victor Delgado

Posted

Astonishing!!! It was my pleasure to meet u!!!

Share this comment


Link to comment
Share on other sites

tyelaine

Posted

Lovely case and agree it doesn't look like the usual metastasis.

Share this comment


Link to comment
Share on other sites



Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...

×
×
  • Create New...