There is a large fleshy 25cm+ exophytic lesion arising from the right supraclavicular fossa. There is evidence of a biopsy. The surrounding skin shows dilated superficial veins. The imaging shows that the lesion is only superficially infiltrative, although the fat in the SCF looks to be stranded.
CLINICAL NOTES: Large fungating skin tumour at base of neck MACROSCOPIC: NOT LABELLED AS TO SITE AND NATURE, consists of skin 20 x 10 mm to a depth of 8 mm. There is a cut across the surface. There is no obvious skin on the surface can be seen. MICROSCOPIC: Sections of skin show widely infiltrating basal cell carcinoma. No perineural invasion is seen in these sections. Excision is incomplete. SUMMARY: Skin from neck - BASAL CELL CARCINOMA. EXCISION INCOMPLETE.
Histopathology should indicate that the basal cell carcinoma is a malignantepithelial tumor, with compact areas, well delineated and invading the dermis, usually with no connection with the epidermis. There are small, monomorphous dark cells with a palisading margin at the periphery (they are more spindle-shaped and irregular in the middle). Tumor clusters may be separated by a reduced stroma with inflammatory infiltrate.
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