FEBBRAIO - CASO 4
MEETING No. 17, HELD ON FEBRUARY 17th, 2000, SAN PIO X PRIVATE HOSPITAL, MILANO
Case 1
Case 2
Case 3
Case 5
Case 6
Case 4
"POLYPOID LESION ON THE FOREARM"
L. TACCAGNI - San Raffaele Hospital - Milano
(pictures by dr. Faravelli)
Clinical history: a 48y.o. man present with a 2 cm. polypoid lesion on the forearm; the lesion is covered by epidermis and mobile on the deep soft tissue.
Microscopic description: the lesion is well defined in respect of the epidermis and the soft tissues of the hypodermis (pict. 1); it consists of monomorphic spindled cells with storiform pattern of growth (pict. 2) - (pict. 3) - (pict. 4) - (pict. 5) - (pict. 6).
There are no atypical forms and the mitotic index is low.
The immunohistochemical staining are negative with protein S100 and positive with EMA (pict. 7).
Electron microscopy shows micro-pinocytotic vesicles, basal lamina-like substance (pict. 8) and long cytoplasm processes with filaments (pict. 9).
Diagnosis
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