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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 1749 - 9 February - Dr Arti Bakshi Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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Clinical History: 78/M, lesion right side of neck ?BCC (case c/o Dr Harith Albadry)

Case Posted by Dr Arti Bakshi


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vincenzo polizzi

Posted

It needs to rule out a metastatic Nasopharingeal Carcinoma. My first thought is a Primary Cutaneous Lymphoepithelioma-like Carcinoma.

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Dr. Richard Carr

Posted

Agree most likely a lymphoepithelioma-like carcinoma although all the ones I've seen have been primary cutaneous & EBV negative. If the pan-keratin is negative time to spend some money! Lymphoid markers including CD20, CD30 etc.

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Arash Daryakar

Posted

Agree with possibility of lymphoepithelioma like carcinoma.

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Dr. Mona Abdel-Halim

Posted

Yes, lymphoepithelioma like carcinoma.

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Raul Perret

Posted

agree with the differential mentioned by Richard and colleagues, favour lymphoepithelioma like carcinoma

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Arti Bakshi

Posted

Yes, Lymphoepithelioma like Carcinoma.

The tumour cells were cytokeratin positive and EBV negative.

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