The American Society of Dermatopathology


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Interactive Case Study - June 2017

Indurated plaque on the right upper extremity

Ryan S. “Dutch” Berry, MD; William B. Tyler, III, MD


Question 1:

Shave biopsy of a large, indurated plaque on the right upper extremity of a 60-year-old man.  

Click this image to view the virtual slide


Figure 1 (H&E, 40x)


Figure 2 (H&E, 100x)


Figure 3 (H&E, 200x)


Figure 4 (H&E, 600x)


Figure 5 (H&E, 1000x)


Figure 6 (GMS, 600x)


Figure 7 (PAS, 600x)


 
Which of the following is the best diagnosis?