case_images: PMC3339127_01
case_images: An exophytic growth, 4 cm across, present over the dorsal aspect of the right hand, adhered to the underlying subcutaneous tissue. The surface of the growth was marked by ulceration in the centre
case_images: JCAS-5-36-g001.jpg
case_images: PMC3339127_01_JCAS-5-36-g001.jpg
case_images: F1
case_images: Cutaneous examination revealed an exophytic growth, 4 cm across, present over the dorsal aspect of the right hand, adhered to the underlying subcutaneous tissue [Figure 1].
case_images: Presence of the tumour infiltrating the dermis and the subcutaneous tissue in the form of solid nests and sheets. The tumour cells were polygonal with eosinophilic cytoplasm and vesicular nuclei with prominent eosinophilic nucleoli. There was abundant keratinization in the centre of solid nests (H and E, x 40)
case_images: JCAS-5-36-g002.jpg
case_images: PMC3339127_01_JCAS-5-36-g002.jpg
case_images: F2
case_images: There was abundant keratinization in the centre of solid nests [Figure 2].