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A 38-Year-Old Man Comes to the Physician Because of a 1-Year

Question 622

Multiple Choice

A 38-year-old man comes to the physician because of a 1-year history of a painless skin lesion on his back. It has slowly increased in size over the past year. Examination shows multiple subcutaneous, soft, freely mobile, and nontender masses.  The lesion on his back is shown in the image. A 38-year-old man comes to the physician because of a 1-year history of a painless skin lesion on his back. It has slowly increased in size over the past year. Examination shows multiple subcutaneous, soft, freely mobile, and nontender masses.  The lesion on his back is shown in the image.   Histologic examination of the mass is most likely to show which of the following findings? A) Mature adipocytes arranged in lobules and separated by fibrous septa B) Pleomorphic malignant cells producing new woven bone C) Septal panniculitis with a mixed cellular infiltrate of lymphocytes and histiocytes D) Sheets of polygonal cells with prominent intercellular bridges and keratinization E) Spindle cells with wavy nuclei embedded in collagen stroma Histologic examination of the mass is most likely to show which of the following findings?


A) Mature adipocytes arranged in lobules and separated by fibrous septa
B) Pleomorphic malignant cells producing new woven bone
C) Septal panniculitis with a mixed cellular infiltrate of lymphocytes and histiocytes
D) Sheets of polygonal cells with prominent intercellular bridges and keratinization
E) Spindle cells with wavy nuclei embedded in collagen stroma

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