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H&E: Sorry @DrAhmedKalebi No pseudoepitheliomatous hyperplasia. @OkelloAliker

Any differential? Any IHC/molecular you would like to have?

I should also mention that the patient is immune compromised.
This turns out to be EBV-associated smooth muscle tumor (HE/SMA/EBER). Kudo to @lizawati38

3 spindle cell tumors in immune compromised:
- KS
- EBV-SMT
- microbacterial spindle cell pseudotumor

Without clinical history: ddx broader including all cellular spindle cell lesions.
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