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Pathology Quiz Online

Pathology Quiz Case - 71

 Dr Sampurna Roy MD





Clinical History: An indurated nodule on the forehead of a 70 year old male.


Key microscopic features -

Microscopic image1: Overlying epidermis showing lentigo maligna. 

Microscopic image2:  Showing scattered collection of lymphocytes and plasma cells. Lymphoid reaction is present at the advancing edge of the lesion.

Microscopic image3 :  Elongated spindle-shaped (fibroblast like) cells surrounded by mature collagen bundles. In areas there are single files of atypical spindle cells among sclerotic collagen bundles.

Microscopic image4:  Small foci of neural transformation and neurotropism.













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