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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 4409 - 14 December 2023 Posted By: Admin_Dermpath

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)

Clinical Details: A 76-year-old gentleman with a history of metastatic colon cancer to the liver and neuroendocrine carcinoma of the lung, who presented with a 3-month history of a non-tender progressively growing lesion on his right cheek, the clinical differential diagnosis was an abscess.
What is the best diagnosis?
a) Metastatic adenocarcinoma from colon primary.
b) Primary cutaneous adenocarcinoma.
c) Metastatic neuroendocrine carcinoma from lung primary.
d) Epithelioid angiosarcoma.
e) Melanoma


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msofopoulos

Posted

immunos and morphology are more consistent with angiosarcoma with epithelioid features

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Agree with above, but the fourth pic should be a nodal metastatic colon-rectal adednocarcinoma 

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smbaksh@psppath.com

Posted

I Agree, epithelioid angiosarcoma after looking at the immunos and all the images, though I must confess at image 4 my impression was metastatic colonic adenoca.

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Admin_Dermpath

Posted

Many thanks everyone for your comments. The final diagnosis is: Epithelioid angiosarcoma

Best wishes

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