Case 59

Dermatopathology Case
 

CLINICAL INFORMATION

  A 35-year-old man presented with burning pain on his back for several months. On examination, a dark purplish, indurated, plaque-like lesion was noted on his back in a band-like formation that spreaded from his left axilla to the right. The lesion was approximately 30X25 cm. It was not tender on palpation. It was focally ulcerated with variegated color and purulent discharge. He also had bilateral axillaries lymphadenopathy. All other organ systems of routine laboratory tests were negative for any significant findings. The computerized tomography scan with/without contrast showed absence of visceral metastasis. However, both liver and spleen were slightly enlarged. The initial clinical impression was cutaneous lymphoma or other similar malignancies.
   
 
 

Gross

 
 

Wright-Giemsa, 20

 
 

Wright Giemsa, 4

 
 

Pap, 20

 
 

HE, 20

   
 

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Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Photo: BW