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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 4147 - 13 Dec 2022 Posted By: Uma Sundram

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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25 year old male with lesions on back. One is excised.
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Go to records December 2022

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Anil Patki

Spindle cell lipoma. Mature adipocytes, spindle cells arranged in fascicles and 'roapy' collagen are the pointers towards the diagnosis.

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Jacob

? Spindle cell hemangioma/Spindle cell hemangiomatosis (multiple lesions). Can be associated with Maffucci syndrome, and Klippel-Trenaunay syndrome.

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Richard Logan

Richard Logan 0

Posted

I don't like the hyperchromatic and pleomorphic nuclei on show here.  How do they fit in with the suggested diagnoses?

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vincenzo
6 hours ago, Richard Logan said:

I don't like the hyperchromatic and pleomorphic nuclei on show here.  How do they fit in with the suggested diagnoses?

+1

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vincenzo

More imgs could save the day...but probably i'm struggling with no way out. thought also to a lymphoma...

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R.Agrawal

Mature adipocytes, 'ropey' collagen, loosely fasicular spindle cells with occasional hyperchromatic and pleomorphic nuclei.... pleomorphic lipoma?

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Uma Sundram

Uma Sundram 169

Posted

Pleomorphic lipoma. There can be significant overlap with spindle cell lipoma.

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