Pathology Quiz Online
March 2005
Case
- 46
Dr Sampurna
Roy MD 
Clinical History: A 25 year old male with a rapidly enlarging tender nodule on the left forearm.
The nodule is of 3
weeks duration.
Gross:
Well circumscribed, 2.0 cm in diameter. Cut surface has a greyish-white
fibrous appearance
with focal myxoid areas.
Clues to diagnosis: 1. Swirling bundles of spindle-shaped cells.
2. Spindle cell nuclei not hyperchromatic or pleomorphic.
3. Mitoses are frequent but no atypical forms.
4. Variable myxoid stroma.
5. Extravasation of red blood cells.
6. Scattered lymphocytes are dispersed throughout the lesion.
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