Fig. 3

a-e Case 5, from the initial lesion that recurred, showing a reasonably well-circumscribed and delineated lesion that is incompletely excised (a). Higher magnification of the lesion shows a dermal proliferation of moderately atypical epithelioid cells. Several cells have cytoplasmic vacuoles (“blister cells”) (b). There is a s dermal proliferation of moderately atypical epithelioid cells including a giant mononuclear cell (c). CD31 immunopositivity highlighting the vascularity of CEAN in case 5 (d); in addition, HHV8 is negative (e)