The American Society of Dermatopathology


View case study archive

Interactive Case Study - May 2015

Asymptomatic nodule on a 55-year old male

Kara Melissa T. Torres, MD, DPDS; Dirk Elston, MD


Question 1:

A biopsy of an asymptomatic nodule on the cheek of a 55-year-old male shows the following histopathology (Figures 1-5) and immunohistochemical stains (Figures 6-9).

Click image to view the virtual slide
May-15-slide.JPG

iOS users: The Virtual Slide is not currently supported in the iOS environment.

Figure 1
May15-Figure1-small.jpg


Figure 2
May15-Figure2-small.jpg


Figure 3
May15-Figure3-small.jpg


Figure 4
May15-Figure4-small.jpg


Figure 5
May15-Figure5-small.jpg


Figure 6. p63
May15-Figure6-small.jpg


Figure 7. BerEP4
May15-Figure7-small-(1).jpg


Figure 8. SOX 10
May15-Figure8-small.jpg


Figure 9. Vimentin
May15-Figure9-small.jpg
 


Given the morphologic and immunohistochemical findings, what is the most appropriate diagnosis?