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<p class="ql-align-justify">Sections show a malignant tumor composed of nests, trabeculae and short cords of small-to-intermediate sized basaloid cells with scant eosinophilic cytoplasm, a high nuclear-to-cytoplasmic ratio, hyperchromatic ovoid nuclei and inconspicuous nucleoli. Peripheral palisading of tumor cells and foci of abrupt keratinization/individual cell keratinization are present. Surrounding stroma shows desmoplastic reaction. Focal tumor necrosis is identified. Focal perineural invasion is noted.</p>
<p>Nasal ulcerative mass extending to Rt. side.</p>
<p>Skin ellipse measured 1.7x1.4x0.6 cm, showing ulcerated mass measured 1.2x1 cm.</p>
<p><strong><em><u>Nasal ulcerative mass, biopsy:</u></em></strong></p><ul><li><strong>Basaloid squamous cell carcinoma. </strong></li><li><strong>Perineural invasion is identified. </strong></li></ul>
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