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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 4000! You can review the archived cases and read the suggested diagnoses by users and the final comment by the contributors.
Case are uploaded each week day by 10 am UK time with the correct diagnosis will generally be posted at 8 pm UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 2949 - 26 October 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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55 year old female with lesion on cheek.


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msofopoulos

Posted

Stelate fibroblasts,cleft-like spaces and a giant cell. Looks like Sclerotic Fibroma (storyform collagenoma)

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daniellindsay

Posted

I would also include fibrous papule of the nose/face in my differential

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Giant cell collagenoma ( subtype of sclerotic fibroma ). Not enough storiform, but there are many mucin containing cleft-like spaces, separating collagen fibers. So agree with Msofopoulos. 

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Uma Sundram

Posted

Fibrous papule, pleomorphic variant. A pleomorphic fibroma is also a reasonable diagnosis.

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