HOME PAGE PRACTICE & PROTOCOLS INVESTIGATIONS BENIGN / BORDERLINE MALIGNANT CASE MATERIAL

Case of the month - October 2007



History:





Low power view of punch biopsy showing a patchy infiltrate throughout the dermis

Low power view of punch biopsy showing a patchy infiltrate throughout the dermis




Medium power view (x10) showing patchy infiltration of entire dermis

Patchy tumour infiltration of entire dermis




Medium power view (x 20) of area 'A' above (papillary dermis)
- note infiltrating spindle cells with cleft-like spaces


Spindle cell infiltration of papillary dermis with cleft-like spaces (Area 'A')



Further view of Area 'A'

Further view of Area 'A'



Solid tumour nodules in deeper dermis (area 'B')

More solid tumour nodules in deeper dermis (area 'B')



High power views (x 40) - solid nest of malignant spindle cells (red circle) and cleft-like spaces (blue arows)

Changes suspicious of lymphocytic vasculitis



Solid tumour area upper right ('X') and cleft-like spaces lower left ('Y')

Solid tumour area (upper right - 'X') and cleft-like spaces lower left ('Y')



High power views (x 40) of cleft-like spaces lined by atypical spindle cells

Cleft-like spaces lined by atypical spindle cells





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