SPINDLE CELL CA(SARCOMATOID CA)
OFTEN CALLED PSEUDOSARCOMATOUS SCCA (PLEOMORPHIC CA)
PROBABLY A SCCA WITH A BIZAAR DESMOPLASTIC RESPONSE OF THE SURROUNDING STROMA
CELLS ARE SPINDLE (CIGAR) SHAPED—-SWIRLED
OFTEN OCCURS AT THE SITE OF CHRONIC TRAUMA—CHRONIC RADIOTHERAPY OR BURN SCARS
IMMUNOPEROXIDASE PANEL STAINS CONFIRM ITS EPITHELIAL ORIGIN—+CYTOKERATIN
OFTEN A VERY BAD ACTOR—-RESECT ALL THE SCAR—MAY BE MULTIFOCAL!
STAINS POSITIVE FOR MYOFIBRILS WITH DTH?