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I would add some immunohistochemical stains to further investigate the nature of the malignant cells present: Cam5.2 and Ck7 to rule out metastatic carcinoma; S100, Melan A and HMB45 to rule out metastatic melanoma. I would also like to see some photos of positive GFAP stain. This challenging case is not straight forward as I thought.
聞道有先後,術業有專攻
聞道有先後,術業有專攻