KROK 1 2011 – Question 92 · KROK (Medicine) · Pathomorphology

A 46-year-old man had a bulging dark macula on skin that caused no discomfort. With time it began to increase in size and became painful. It turned dark brown and there was a nodule on palpation. Histological examination of tissues revealed spindle and polymorphous cells with multiple mitoses. Their cytoplasm contained brown pigment. What tumour is it?

  1. A. Nevus
  2. B. Melanoma
  3. C. Hemangioma
  4. D. Basalioma
  5. E. -
Hint

Think about which cell type produces brown pigment in the skin, and what rapid growth, pain, a nodule and many mitoses imply about whether the lesion is benign or malignant.

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