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Pleomorphic undifferentiated sarcoma (malignant fibrous histiocytoma) with deep margin focally positive.<br> | Pleomorphic undifferentiated sarcoma (malignant fibrous histiocytoma) with deep margin focally positive.<br> | ||
Dermal scar. | Dermal scar. | ||
== DFSP == | |||
===Microscopic description=== | |||
The sections show a thick collagen bundles in the dermis covered by a flat epidermis with basal hyperpigmentation (dermal scar). This is surrounded by a cellular, poorly demarcated, dermal-based spindle cell lesion with a storiform pattern. There is no significant atypia or mitotic activity. The lesion extends to the deep margin (block A5) and, focally, contains adipose tissue within it. | |||
Immunohistochemical staining show that the lesion is CD34 strongly positive and weakly for factor XIIIa | |||
===Final diagnosis=== | |||
Skin, left abdomen, re-excision:<br> | |||
DERMATOFIBROSARCOMA PROTUBERANS WITH POSITIVE DEEP MARGIN.<br> | |||
DERMAL SCAR. |
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