case_images: PMC6376506_01
case_images: Ulcerative nodular lesion on right heel.
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case_images: On cutaneous examination, there was an exophytic tumorous mass of size 2.0 cm x 2.0 cm with ulceration and crust in the centre (Figure 1).
case_images: Chest X-ray showing canon ball secondaries.
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case_images: Radiological examination of chest showed multiple cannon ball secondaries (Figure 2).
case_images: MRI showing nodular exophytic growth right heel with no musculoskeletal invasion. MRI indicates magnetic resonance imaging.
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case_images: Right foot magnetic resonance imaging (MRI) showed a mass lesion in the plantar aspect of right heel, which was slightly exophytic and nodular measuring 1.8 cm x 1.9 cm in subcutaneous plane (Figure 3).
case_images: (H&E 40x) Nodules with syncytial and cribriform pattern along with papillae lying within dermis not attached to epidermis.
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case_images: These nodules showed syncytial and cribriform patterns along with papillae lined by mildly pleomorphic cuboidal-to-columnar cells with scattered mitosis (Figures 4 and 5).
case_images: (H&E 100x) Nodules with syncytial and cribriform pattern along with papillae lined by columnar cells (H&E 400x) inset showing cribriform pattern of cuboidal and columnar cells.
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case_images: These nodules showed syncytial and cribriform patterns along with papillae lined by mildly pleomorphic cuboidal-to-columnar cells with scattered mitosis (Figures 4 and 5).