Image of the Month

This new Young Oncologist project challenges your capability of diagnosis based on a striking and clinically important image.

You are presented with an image accompanied by a question giving you the opportunity to test if you can correctly identify the right diagnosis. You will then discover the diagnosis that was actually made together with a brief background to the medical history of the case.

ESMO members can rate the article and leave comments to raise questions concerning the diagnosis or share their own experience of a similar case.

Want to participate? Submit your image

July 2016 - Image of the Month

  • 25 Jul 2016
  • Author: Ahmed Sohaib
July 2016

Female patient, 52 years old, with skin lesions and bleeding per gum. Her CT scan showed enlarged paraortic lymph nodes.

view detailsof July 2016 - Image of the Month

June 2016 - Image of the Month

  • 22 Jun 2016
  • Author: Marcos Pantarotto, Marcos Camandaroba, Monica Nave
June 2016

A 65 year-old otherwise healthy woman came to our clinic complaining of a giant scalp lesion, with slow but steady growth in the last few years. The patient had no weight loss, fever, dyspnea or neurological symptoms.

view detailsof June 2016 - Image of the Month

May 2016 - Image of the Month

  • 12 May 2016
  • Author: Deirdre Kelly, Bernadette Monaghan, Eileen Mc Mahon, Eoin Kavanagh, Desmond Carney
May 2016

A 60 year old male presenting with subacute personality change, speech and attention deficits in the setting of Stage III Non-Hodgkin's follicular lymphoma treated with six cycles of RCHOP chemotherapy and one year of maintenance Rituximab.

view detailsof May 2016 - Image of the Month

April 2016 - Image of the Month

  • 19 Apr 2016
  • Author: Youssef Seddik
April 2016

A 43-year-old woman presented a large mass infected in the left breast associated with ipsilateral axillary lymphadenopathy.

view detailsof April 2016 - Image of the Month

January 2016 – Image of the Month

  • 12 Jan 2016
  • Author: Elizabeth Inga
Image of the month January 2016

A 59-year-old man with non-productive cough and chest pain of one month of evolution. He was diagnosed with musculoskeletal pain and received analgesic treatment showing mild improvement. In light of the persistence of pain, a chest X-ray was requested.

view detailsof January 2016 – Image of the Month

December 2015 – Image of the Month

  • 09 Dec 2015
  • Author: Lourdes Gutierrez Sanz, Beatriz Brea Alvarez, Judit Rubio Martínez
December 2015

61 year-old man with diagnosis of acral lentiginous melanoma in the right hand index pT4bN1M0 (Stage IIIB) was treated with surgery. We proposed adjuvant treatment with interferon therapy and medical follow up, but the patient refused both. Two years later, he started with neurological symptoms: diplopia, facial pain, paresthesias and numbness and weakness of the upper and lower face, bilateral sensorineural deafness, along with dysarthria, dysphagia and hoarseness of voice. On the brain MRI we observed the following findings.

view detailsof December 2015 – Image of the Month

November 2015 – Image of the Month

  • 24 Nov 2015
  • Author: Raja Pramanik
November 2015

This 24 yrs. male had a painless progressive lump on the medial side of left elbow for 1 year. It had recurred after 2 local excisions. The histopathological examination after second excision was ‘poorly differentiated malignant tumour’. Physical exam, complete blood count and peripheral blood smear were normal. Biopsy showed a small round cell tumour. Final pathologic diagnosis was established by IHC. The tumour resolved after chemotherapy.

view detailsof November 2015 – Image of the Month

October 2015 – Image of the Month

  • 23 Oct 2015
  • Author: Gloria Marquina Ospina, Mónica Granja Ortega, Aránzazu Manzano Fernández
October 2015

63-year-old woman diagnosed with squamous cell lung cancer with cerebral relapse after third-line treatment with docetaxel and history of recent whole brain irradiation presented with high temperature, erythematous maxillary lesion and blefaro- and ophthalmoplegia.

view detailsof October 2015 – Image of the Month

September 2015 - Image of the Month

  • 18 Sep 2015
  • Author: Carmen Herrero and Abraham Hernández
Image of the month September 2015

A 52-year old female was diagnosed with a ductal carcinoma of the right breast pT2N0 after a mastectomy with breast reconstruction using an implant. After 13 years, she developed sudden, uncomfortable swelling and small, smooth, firm, mobile mass in her breast.

view detailsof September 2015 - Image of the Month

August 2015 - Image of the Month

  • 14 Aug 2015
  • Author: Karima Oualla
Image of the month August 2015

55 years old man, with history of smoking. He has presented diffuse erythematous nodular lesions in the chest and neck, painless, without any other symptoms

view detailsof August 2015 - Image of the Month

July 2015 – Image of the Month

  • 24 Jul 2015
  • Author: Fernando Gálvez Montosa, Beatriz González Astorga, Mayte Delgado Ureña
Image of the month July 2015

A 52-year-old man underwent chemoradiotherapy for hypopharyngeal cancer. Five years after he presented with complaints of dyspnea and rapidly growing tumour over the tracheostoma

view detailsof July 2015 – Image of the Month

May 2015 – Image of the Month

  • 22 May 2015
  • Author: Maria Maddalena Laterza, Ferdinando De Vita
Image of the month May 2015

57 -year-old man patient with diffuse violaceous and ulcerated lesions on feet bilaterally widespread pain and lymphedema in the lower limbs.

view detailsof May 2015 – Image of the Month

April 2015 – Image of the Month

  • 24 Apr 2015
  • Author: Daniela Morales-Espinosa, Santiago Viteri Ramírez, Maria González-Cao
Image of the month April 2015

A mediastinal mass was found in a 43-year-old women with early breast cancer (pT1bN0), during simulation of adjuvant radiotherapy.

view detailsof April 2015 – Image of the Month

March 2015 – Image of the Month

  • 25 Mar 2015
  • Author: Stergios Boussios
Image of the Month March 2015

A 20-year-old woman was found with a suspicious ovarian cyst in pregnancy and diagnosed with yolk sac tumor. Four months following chemotherapy an extensive violaceous and erythematous excoriated rash with a striking linear configuration was noticed

view detailsof March 2015 – Image of the Month

February 2015 – Image of the Month

  • 11 Feb 2015
  • Author: Nikita Volkov
Image of the month - February 2015

48 y.o. patient suffering from metastatic oesophageal carcinoma presented a few months after completion of 3rd line chemotherapy with the complaints of severe fatigue and anorexia. He has pigmented spots on tongue and buccal mucosa and skin hyperpigmentation.

view detailsof February 2015 – Image of the Month