| Ulcerated nodule over the chest (2004) | |||||||||||||
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| Quiz Ulcerated nodule over the chest year old male agricultural laborer presented with non healing ulcerated nodule located the upper chest three months duration The lesion had started insidiously single pea sized nodule progressively increased achieve the present size and then subsequently ulcerated about month ago There was history preceding trauma extrusion bony chips from the lesion Physical examination revealed solitary ulcerated soft firm nodule over the upper chest just medial the right nipple Figure measured cm size and exuded serosanguineous discharge There was regional lymphadenopathy Systemic examination revealed abnormality chest ray was normal Histopathological examination the ulcerated nodule revealed noncapsulated dense infiltrate spindle shaped cells the upper and mid dermis Figures and Within this infiltrate few bizarre cells with pleomorphic hyperchromatic nuclei were also seen Large bizarre multinucleated cells were arranged vague fascicular pattern Scattered inflammatory cells and numerous small blood vessels were also present WHAT YOUR DIAGNOSIS Figure Non capsulated tumor consisting spindle shaped cells Figure Ulcerated nodule over the chest Figure Pleomorphic neoplastic cells some them with bizarre nuclei How cite this article Jeevankumar Thappa Shivaswamy Jayanthi Ulcerated nodule over the chest Indian Dermatol Venereol Leprol Received November Accepted January Source Support Nil Indian Dermatol Venereol Leprol March April Vol Issue Quiz Diagnosis Atyp | |||||||||||||
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