In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

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Case Number : Case Number : Case 1902 - 12 Sept - Dr Richard Carr

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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F40. Abdomen. ?vascular malformation.

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Admin_Dermpath

Posted · Report

Dear All! Good morning!

 

We have now added the immuno proflie to Richard's case. 

Many thanks to Richard for the time he takes to provide the educational cases

DermpathPRO Admin 

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Raul Perret

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I found it challenging. I am happy to have put DFSP in my differential as Vincenzo. IHC is mandatory here (CD34, S-100, EMA, etc) and even molecular tets for demonstrating COL1A1-PDGFB. For me the variant here is rather plaque like/atrophic with myxoid areas, particular findings are the localization (mainly deep dermis) and clinical impression (vascular malformation??) 

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vincenzo polizzi

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"For me the variant here is rather plaque like/atrophic with myxoid areas, particular findings are the localization (mainly deep dermis)"...

Agree with you Raul! I would have preferred named this myxojaline variant, but don't know this. Maybe sclerosing could be a better adjective...

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Dr. Richard Carr

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Agree with atrophic & sclerotic DFSP. I only did the CD34 given the H&E features. Well done chaps. Quality responses.

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