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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 2969 - 23 November 2021 Posted By: Uma Sundram

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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76 year old female with recurrent nose lesion.


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daniellindsay

Posted

Could be sebaceoma? I dont see much mitotic activity. 

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I don't love the growth pattern but it looks more like sebaceous adenoma/sebaceoma cytologically than sebaceous carcinoma.

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Nice example of w.d. sebaceous carcinoma. It’s difficult because of subtle infiltration ( left bottom fig1 ). 

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Uma Sundram

Posted

Great comments. This tumor has been recurrent over at 8 year period. We looked at the lesion in its entirety a few days ago and it is infiltrative and large. Dx=well differentiated sebaceous carcinoma. It has some features of a sebaceous adenoma in places, and we have recommended a Muir Torre work up.

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