The American Society of Dermatopathology


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Interactive Case Study - October 2023

75-year-old man with an eroded plaque on the back

Stephanie A. Castillo, MD; Alice Roberts, MD, PhD


Question 1:

A 75-year-old man presented with a mildly pruritic, well-demarcated pink plaque with central ulceration on the right mid back.

Click this image to view the virtual slide:


Figure 1: 40X 


Figure 2: 100X



Figure 3: Adipophilin 100X 



Figure 4: CK7 100X 


Figure 5: BER-EP4 100X  

 
Which of the following is the best diagnosis?