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The American Society of Dermatopathology
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Case Study of the Month
View case study archive
Interactive Case Study - January 2022
60-year-old woman with a tender, rapidly growing nodule
Jaffar Khan, MBBS; Ahmed Khalid Alomari, MD
Question 1:
A 60-year-old woman presented with a tender, rapidly growing nodule in her chest. A deep punch biopsy was performed.
Click this image to view the virtual slide
Figure 1. Clinical image
Figure 2. H&E, low power
Figure 3. H&E, high power
Figure 4. CK20, high power
Figure 5. CK7, high power
Figure 6.TTF-1, high power
What is the best diagnosis?
A.
Basal cell carcinoma
B.
Cutaneous T-cell lymphoblastic lymphom
C.
Ewing sarcoma
D.
Metastatic small cell lung carcinoma
E.
Merkel cell carcinoma