Fig. 7

a) Merkel cell carcinoma with an infiltrative pattern (H&E, 1X). The base of the lesion is irregular, with cells infiltrating the dermal collagen and adipocytes in small aggregates (H&E, 10X). c) Round blue cells tumors exhibit nuclear molding and a “salt and pepper” chromatin pattern (H&E, 40X). d) CK20 positive dot-like pattern (immunohistochemistry, 40X)