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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 4551 - 18 September 2024 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)
Male 62 previous diagnosis of CLL. On the skin - Plaques and painful subcutaneous nodules on the face, trunk and legs
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Go to records September 2024

User Feedback


sfwenson

sfwenson 6

Posted

Can we get notations saying which immunostains are what? It could be subcutaneous panniculitis-like T-cell lymphoma but I'd like to know the stains being shown.

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Joaninha Costa Rosa

Joaninha Costa Rosa 0

Posted

Left column:

HxE; HxE; CD3; CD8; Granz; TCR beta

Right column:

HxE; CD2; CD4; CD56; TCRgama

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msofopoulos

msofopoulos 4

Posted

Is it NK / T cell lymphoma?

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vincenzo

vincenzo 4

Posted

Morphology matches better with SPLTCL. CD4+, CD56+/-, grand -. IHC doesn’t fit primary cutaneous gamma delta.  What is this?

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Joaninha Costa Rosa

Joaninha Costa Rosa 0

Posted

Unfortunately, I have just realized that pictures change the place in full screen.

In full scren it is.

Left column: HxE; HxE; CD3; empty space; CD56; TCRgamma

Right column: HxE; CD2; CD4; CD8; Granz; TCRbeta

So, the final diagnosis is SPLTCL.

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