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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?


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Last Updated 11/2/2002


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