case_images: PMC5418985_01
case_images: A large noduloulcerative lesion on the left scapular region
case_images: JCAS-10-51-g001.jpg
case_images: PMC5418985_01_JCAS-10-51-g001.jpg
case_images: F1
case_images: Examination revealed a huge, nodulo-ulcerative plaque on the left side of the back of approximately 15 cm x 20 cm size, extending to the nape of the neck superiorly, acromial process laterally and medially crossing the midline up to medial border of the right scapula [Figure 1].
case_images: Epidermis is free with neoplasm in the dermis (H and E, x100)
case_images: JCAS-10-51-g002.jpg
case_images: PMC5418985_01_JCAS-10-51-g002.jpg
case_images: F2
case_images: Microscopically, there was an infiltrating lesion located in the deep dermis and subcutaneous tissue, composed of spindle cells arranged in a storiform pattern [Figures 2 and 3].
case_images: Neoplasm in lower dermis (H and E, x100)
case_images: JCAS-10-51-g003.jpg
case_images: PMC5418985_01_JCAS-10-51-g003.jpg
case_images: F3
case_images: Microscopically, there was an infiltrating lesion located in the deep dermis and subcutaneous tissue, composed of spindle cells arranged in a storiform pattern [Figures 2 and 3].
case_images: Spindle cells some showing storiform pattern (H and E, x400)
case_images: JCAS-10-51-g004.jpg
case_images: PMC5418985_01_JCAS-10-51-g004.jpg
case_images: F4
case_images: Immunohistochemical staining with CD34 markers was negative while there was positivity for CD68 [Figures 4 and 5].
case_images: Immunohistochemistry showing CD68 positivity
case_images: JCAS-10-51-g005.jpg
case_images: PMC5418985_01_JCAS-10-51-g005.jpg
case_images: F5
case_images: Immunohistochemical staining with CD34 markers was negative while there was positivity for CD68 [Figures 4 and 5].
case_images: Following surgical excision
case_images: JCAS-10-51-g006.jpg
case_images: PMC5418985_01_JCAS-10-51-g006.jpg
case_images: F6
case_images: She came for follow-up after 6 months, and there was no tendency for recurrence [Figure 6].