History
This is a 58 year old woman who presents with a crusting pigmented lesion of the nipple of the left breast. The clinical impression was a melanoma.
Microscopic Findings
Sections show an atypical intraepidermal proliferation of both individual and nested cells, many of which contain abundant cytoplasmic melanin pigment. | ||||
Figure 1 |
Pigment incontinence is noted within the stratum corneum as well. The dermal-epidermal junction shows discohesive clefting with atypical cells associated with melanin pigment. No definite glandular differentiation is noted. | ||||
Figure 2 |
Immunoperoxidase and Special Stains
Immunoperoxidase studies showed a positive EMA within the atypical cells. | ||||
Figure 3 |
What is your diagnosis?
Last Updated 11/2/2002
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