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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 2970 - 24 November 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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61 year-old female with nose lesion.


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Anil Patki

Posted

Glomus tumour at an unusual site

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Meenakshi Batrani

Posted

There is peripheral palisading and thickened basement membrane. I would go with desmoplastic trichilemmoma

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Anil Patki

Posted

Agree with Meenakshi. Missed these findings while hurriedly viewing images on phone.

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sfwenson

Posted

Agree, desmoplastic trichilemmoma.

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vincenzo

Posted

13 hours ago, Meenakshi Batrani said:

There is peripheral palisading and thickened basement membrane. I would go with desmoplastic trichilemmoma

Totally agree. There is a typical trichilemmal clear cell differentiation, outer root sheath of pilar follicle. 

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Quote

 

There is reverse polarity and peripheral palisading, clear cell looking cells,  areas showing infiltrative pattern and make me think desmoplastic trichilemmoma as well

 

On 24/11/2021 at 19:04, vincenzo said:

Totally agree. There is a typical trichilemmal clear cell differentiation, outer root sheath of pilar follicle. 

 

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Krishnakumar subramanian

Posted

desmoplastic trichilemmoma

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