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case_images: Histopathological examination revealed acantholytic dyskeratotic cells in the upper epidermis, suprabasal clefts with focal hyperkeratosis and parakeratosis.
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case_images: The histopathological examination (Figure 1) revealed acantholytic dyskeratotic cells in the upper epidermis, along with suprabasal clefts showing focal hyperkeratosis and parakeratosis.
case_images: Before superficial X-ray radiation therapy.
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case_images: Additionally, to safeguard the thyroid gland, which is especially sensitive to radiation, we carefully delineated its margins using thyroid ultrasonography (Figure 2).
case_images: 4 weeks after treatment, the skin lesions in the treatment area of the neck were obvious improved.
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case_images: Interestingly, even the lesions in the non-treatment target area of the neck showed improvement (Figure 3).
case_images: 5 months after treatment, the skin lesions in the treatment area of the neck were virtually resolved.
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case_images: By five months after treatment, skin lesions on the neck and underarms had nearly resolved, and pigmentation had significantly improved (Figure 4).