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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 4072 - 30 August 2022 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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63 year old male with cheek lesion.

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Uma Sundram


There is a fair amount of overlap between sebaceous adenoma and hyperplasia. In this case, we thought the number of basaloid cells and their basilar arrangement warranted a diagnosis of sebaceous adenoma. There is also a slight crateriform arrangement that is concerning for the Muir Torre syndrome. We suggested that the microsatellite instability test be performed as the patient is over 60.

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Late to the party. SA was my first spot too. 

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