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    Challenging skin cancer diagnoses

    Common cancer in uncommon location contrasted with uncommon cancer in classic location

     

    Case Presentation

    A third patient, a 60-year-old, Caucasian male with history of non-melanoma skin cancer and psoriasis presents with a “rash” involving the skin of the areola eccentrically surrounding but sparing the nipple (figure 3).

    A shave biopsy is performed on this patient with histology revealing basaloid cells with relatively uniform hyperchromic cytoplasm in the dermis. The basaloid cells are arranged in lobules with peripheral palisading.

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