case_images: PMC3876639_01
case_images: Radiograph of left scapula and shoulder region showing a well-defined lytic zone, without involvement of soft tissue
case_images: SAJC-2-2a-g001.jpg
case_images: PMC3876639_01_SAJC-2-2a-g001.jpg
case_images: F1
case_images: X-ray revealed a large lytic lesion in the left scapula, without soft tissue extension [Figure 1].
case_images: FNAC smear showing small groups of malignant cells with well-defined cell borders, dense eosinophilic cytoplasm, high N/C ratio, nuclear pleomorphism and nucleoli (H and E, x500)
case_images: SAJC-2-2a-g002.jpg
case_images: PMC3876639_01_SAJC-2-2a-g002.jpg
case_images: F2
case_images: The cells were large, about 60 mu, with well-defined borders, abundant dense eosinophilic cytoplasm, pleomorphic nuclei with high N/C ratio and prominent nucleoli [Figure 2].
case_images: Tissue section showing malignant cells arranged in cell balls and peudoglands, separated by finely vascularized stroma (H and E, x250)
case_images: SAJC-2-2a-g003.jpg
case_images: PMC3876639_01_SAJC-2-2a-g003.jpg
case_images: F3
case_images: Formalin - fixed Haematoxylin and Eosin stained sections showed round to polyhedral cells arranged in the form of trabeculae, cell balls and pseudoglands separated by fine vascularized septa [Figure 3].
case_images: Tissue section showing positive immunostaining for AE-1/AE-3 (a) and CK 7 (b) (x125)
case_images: SAJC-2-2a-g004.jpg
case_images: PMC3876639_01_SAJC-2-2a-g004.jpg
case_images: F4
case_images: The AE-1/AE-3 and CK-7 stains were strongly positive, while CK-20 was negative [Figures 4a,b].