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Ann Saudi MedAnn Saudi MedAnnals of Saudi Medicine0256-49470975-4466King Faisal Specialist Hospital and Research Centre 1829964310.5144/0256-4947.2008.57asm-1-57What's Your Diagnosis?A 46-year-old male with an ulcerated linear lesion on his neck Yoleri Levent aOzden Sema aKandiloglu Ali b
a Celal Bayar University Medical School-Department of Plastic, Reconstructive and Aesthetic Surgery
b Celal Bayar University Medical School - Department of Pathology, Manisa, TurkeyCorrespondence and reprints: Levent Yoleri, Inonu Cad. Ozgiller 467 Kat:3 Daire:12 Konak Izmir 35400 Turkey, T: +90 (232) 2442021, yoleri@superonline.comJan-Feb 2008 28 1 57 58 01 5 2007 Copyright © 2008, Annals of Saudi Medicine2008This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
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A 46-year-old man presented with a linear 83×14 mm ulcerated nodular lesion on his right supraclavicular region (Figure 1). It appeared about 5 years previously as a nodule and showed linear growth and ulceration. He gave no history of antecedent trauma or scratching in the area of the lesion. The lesion was excised deeply at the level of superficial cervical fascia with a 10 mm lateral margin and the wound was closed primarily under local anesthesia. Histological examination was done (Figure 2a, 2b, 2c, 2d).

What is your clinical diagnosis?

What are your differential diagnoses?

What is your histological diagnosis?

Answer on page 63

Figure 1 The preoperative appearance of the tumor on the neck. It is 83 mm long and 14 mm wide at the widest point.

Figure 2a Low-power view of the tumor H&E×10.

Figure 2b Low-power view of the tumor H&E×10.

Figure 2c High-power view of the tumor.

Figure 2d High-power view of the tumor. Basaloid cells infiltrating the dermis can be seen with inflammatory cells in the background.