PMC6122369_01
Chest x-ray showing cannon ball metastases.
gr1.jpg
PMC6122369_01_gr1.jpg
fig0005
Chest X-ray of the patient showed cannon ball metastases (Fig. 1).
Amputated specimen with ulcerated lesion over the tip of distal phalanx.
gr2.jpg
PMC6122369_01_gr2.jpg
fig0010
Right 5th finger amputation upto middle phalanx was done (Fig. 2).
Microscopic image - 5x magnification.
gr3.jpg
PMC6122369_01_gr3.jpg
fig0015
Histopathology of the specimen showed infiltrating tumor composed of confluent clusters and nest of malignant squamous cells and scattered among dyskeratotic cells (Fig. 3).
Microscopic image - 20x magnification.
gr4.jpg
PMC6122369_01_gr4.jpg
fig0020
Atypical mitoses present with areas of necrosis surrounded by fibrocollagenous stroma with myxoid change and areas of hyalinisation (Fig. 4).