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<p class="ql-align-justify">Sections show dense dermal diffuse infiltrate formed of small to intermediate sized lymphocytes with intervening collections of histiocytes, neutrophil, many plasma cells with macrophages. This infiltrate is encasing thick wall blood vessels. There is superimposed inflammatory ulceration with dense neutrophils. Picture is suggestive of reactive inflammatory process rather than a neoplastic. Confirmatory marker study (CD20, CD3, CD30, ALK, CD117, CD34, CD138 and KI-67) is needed.</p>
<p>Vulval ulcer.</p>
<p>Mostly ulcerated skin fragment measure 1.3x0.8x0.7 cm.</p>
<p><strong><em><u>Vulval ulcer, excision: </u></em></strong></p><ul><li><strong>Dense dermal lymphoid infiltrate. </strong></li><li><strong>Recommended for marker study to exclude lymphomatous infiltration.</strong></li></ul>
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