PMC5386782_01
Leg Nodules and erythematous/faintly purplish plaques, with associated grayish discoloration of the skin.
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F1
This is a 76-year-old male patient with past medical history of hypertension, unstable angina pectoris, chronic obstructive pulmonary disease, gastroesophageal reflux disease, and colon adenocarcinoma status post resection in year 2012 who presented to his primary care physician with a chief complaint of a left heel lesion at medial aspect of 3 months of evolution (fig. 1, 2).
Left foot lesion at medial aspect and interdigits. Lesions are elevated approximately 3mm, with well-defined borders.
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F2
This is a 76-year-old male patient with past medical history of hypertension, unstable angina pectoris, chronic obstructive pulmonary disease, gastroesophageal reflux disease, and colon adenocarcinoma status post resection in year 2012 who presented to his primary care physician with a chief complaint of a left heel lesion at medial aspect of 3 months of evolution (fig. 1, 2). This lesion was an open ulcer of approximately 1 cm of diameter, elevated approximately 3mm, with well-defined borders, draining serous as well as purulent material, and friable (Fig. 2).
Surgical Pathology diagnosis: spindle cells, high vascularity and intracellular hyaline globs and spaces, imparting a pattern that is strikingly reminiscent of a cavernous hemangioma consistent with nodular Kaposi's sarcoma.
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F3
A skin biopsy was performed and reports the characteristic spindle cells, high vascularity and intracellular hyaline globs and spaces, imparting a pattern that is strikingly reminiscent of a cavernous hemangioma consistent with nodular Kaposi's sarcoma (Fig. 3).