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(A) Suprapubic skin: The epidermis is normal. Within the dermis are groups of atypical cells with abundant amphophilic cytoplasm. Nuclei are pleomorphic and hyperchromatic. The cellular features are consistent with an apocrine morphology. (B) Atypical cells present in dermal lymphovascular spaces. (C) Lymph node showing metastatic apocrine carcinoma.
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Pathology showed metastatic carcinoma in 3 of the 20 lymph nodes in the right groin (Fig. 1).
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