case_images: PMC11753555_01
case_images: A solitary, well-defined, firm to hard plaque of 5cm diameter over right forearm with a positive finger insinuation sign
case_images: IDOJ-16-137-g001.jpg
case_images: PMC11753555_01_IDOJ-16-137-g001.jpg
case_images: idoj.idoj_478_24-f001
case_images: The lesion was freely mobile over the underlying structures with a positive finger insinuation sign [Figure 1].
case_images: Dermal tumor with neoplastic epithelial tadpole-shaped ducts with eosinophilic secretions giving a 'paisley tie appearance' (H and E Scanner view)
case_images: IDOJ-16-137-g002.jpg
case_images: PMC11753555_01_IDOJ-16-137-g002.jpg
case_images: idoj.idoj_478_24-f002
case_images: Small keratin cysts were noted [Figures 2-4].
case_images: Keratin cyst in upper dermis (H&E, 400x)
case_images: IDOJ-16-137-g003.jpg
case_images: PMC11753555_01_IDOJ-16-137-g003.jpg
case_images: idoj.idoj_478_24-f003
case_images: Small keratin cysts were noted [Figures 2-4].
case_images: Neoplastic epithelial tadpole-shaped ducts (H&E, 400x)
case_images: IDOJ-16-137-g004.jpg
case_images: PMC11753555_01_IDOJ-16-137-g004.jpg
case_images: idoj.idoj_478_24-f004
case_images: Small keratin cysts were noted [Figures 2-4].
case_images: Immunohistochemistry showing S100 positivity
case_images: IDOJ-16-137-g005.jpg
case_images: PMC11753555_01_IDOJ-16-137-g005.jpg
case_images: idoj.idoj_478_24-f005
case_images: Immunohistochemistry showed S100 positivity [Figure 5].