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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 4430 - 12 January 2024 Posted By: Iskander H. Chaudhry

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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66-year-old male with 4mm punch biopsy right chin ?BCC ?SCC ?AFX ?AMM ?Viral wart.


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smbaksh@psppath.com

Posted

Spindle cell SCC favored

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My opinion:

SCC as there is a connection w/ epithelium.

In AFX, atypia cell should be more atypical. 

any IHC slides?

It is my opinion

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Meenakshi Batrani

Posted

On 27/01/2024 at 03:55, smbaksh@psppath.com said:

Spindle cell SCC favored

Agree

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vincenzo

Posted

On 28/01/2024 at 09:18, Samir said:

My opinion:

SCC as there is a connection w/ epithelium.

In AFX, atypia cell should be more atypical. 

any IHC slides?

It is my opinion

That's my opinion, too. 

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Iskander H. Chaudhry

Posted

Many thanks everyone for your comments. The final diagnosis is: Melanoma Malignant

Best wishes

 

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