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Charlot Grech, MD, MRCP(UK); Bruce Pollock, MBBS, MRCP(UK); Alison Shanks, MA, MB, BCh, MRCP(UK); Jeffrey Theaker, MA, MD, FRCPath
Southampton Teaching Hospitals, Southampton, England

Arch Dermatol. 1999;135:341-346.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 69-year-old white man presented with a 2-year history of a lesion on the anterior aspect of his chest wall. The lesion had developed from a tender erythematous plaque to a nodular lesion over 2 months.

Physical examination revealed a well-defined, firm, erythematous plaque measuring 5 x 4 cm situated on the lower part of the sternum (Figure 1). There were 2 nodules within the plaque. The surrounding skin was indurated and tethered. A biopsy specimen was obtained from the nodular part of the lesion and stained with hematoxylin-eosin (Figure 2). Immunohistochemical staining with desmin is demonstrated in Figure 3.

Figure 1.

Figure 2.

Figure 3.

What is your diagnosis?

Diagnosis: Leiomyosarcoma.

Microscopic sections stained with hematoxylin-eosin showed a dermal tumor composed of bundles and interlacing fascicles of . . . [Full Text of this Article]

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