case_images: PMC3913423_01
case_images: Photomicrograph x4 H&E; spindle cell tumour with areas of haemorrhage and necrosis.
case_images: rjt09601.jpg
case_images: PMC3913423_01_rjt09601.jpg
case_images: RJT096F1
case_images: A microscopic examination showed an atypical undifferentiated spindle cell lesion with a fascicular architecture, pleomorphism and marked mitotic activity with areas of ulceration and necrosis (Figs 1 and 2).
case_images: Photomicrograph x40 H&E; pleomorphic spindle cells in fascicles with several mitoses.
case_images: rjt09602.jpg
case_images: PMC3913423_01_rjt09602.jpg
case_images: RJT096F2
case_images: A microscopic examination showed an atypical undifferentiated spindle cell lesion with a fascicular architecture, pleomorphism and marked mitotic activity with areas of ulceration and necrosis (Figs 1 and 2).
case_images: Photomicrograph showing negative cytokeratin AE1/AE3 staining in spindle cells.
case_images: rjt09603.jpg
case_images: PMC3913423_01_rjt09603.jpg
case_images: RJT096F3
case_images: The initial set of immunostains performed showed that tumour cells were negative for cytokeratins (Fig. 3), S100 and LCA.
case_images: Photomicrograph showing vimentin-positive spindle cells.
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case_images: PMC3913423_01_rjt09604.jpg
case_images: RJT096F4
case_images: The tumour cells showed diffuse and strong vimentin positivity (Fig. 4).
case_images: Postoperative photograph demonstrating split thickness skin graft reconstruction.
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case_images: PMC3913423_01_rjt09605.jpg
case_images: RJT096F5
case_images: Reconstruction was with a split thickness skin graft by the plastic surgery team prior to her radiotherapy treatment (Fig. 5).