Authors: Safa Alshaikh,MBBS, Eman Aljufairi ,MD,Nisha Chandran ,MBBS
Department of Pathology, Salmaniya Medical Complex, Kingdom of Bahrain.

Reviewer: Chris VandenBussche MD PhD MIAC, The Johns Hopkins University School of Medicine

Clinical History: A 67 year old female presented with left arm ulcer for 6 months. She was treated with antibiotics for 4 months without any improvement. Physical examination showed an ill-defined large, ulcerated, and nodular mass measuring 5x5cm associated with multiple enlarged left axillary lymph nodes.

Fig. 1

Fig. 2

Fig. 3

Fig. 4