Path Case12

Pathology Quiz Online

May 2004 Case - 12

Dr Sampurna Roy MD

Clinical History:

A 62 year old man with a yellow-tan, ulcerated plaque (3.5cm in diameter) on the

right side of the face. The tumour was excised with a 2cm margin.

Further examination of the patient showed no evidence of any internal visceral

neoplasm or any other associated cutaneous lesion.

The patient had no family history of any visceral malignancy.

                    Special Stains:

                          Frozen section stained with Oil red O shows abundant lipid within the vacuolated cells.

                   Immunohistochemistry:

The tumour cells show positive reaction for epithelial membrane antigen (EMA)

but is negative for carcinoembryonic antigen (CEA) and S100 protein.

DIAGNOSIS:

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