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Image Challenge — December 11, 2025

YouTubeNEJM Group

Image Challenge — December 11, 2025

A 72-year-old woman presented to the dermatology clinic with a 3.5-month history of an enlarging, painless lump on her left cheek. A punch biopsy showed dermal infiltration by small, round, blue cells arranged in nests, with scant cytoplasm and frequent mitoses. Immunohistochemical testing for perinuclear CK20 and synaptophysin was positive ...

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