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Figure 2: June and November 2003 Prior histopathology from June 2003 showing perivascular aggregates of small lymphoid cells with occasional large cells. Initial diagnosis at outside institution was CLL. a= June 2003 (H and E, ×4); b= June 2003 (H and E, ×10); c= June 2003 (H and E, ×20). Prior histopathology from November 2003 showing large atypical cells with oval, irregular or indented nuclei and scant cytoplasm in the deep dermis. Initial diagnosis at outside institution was diffuse large B-cell lymphoma. d= November 2003 (H and E, ×4); e= November 2003 (H and E, ×10); f= November 2003 (H and E, ×20)

Figure 2: June and November 2003 Prior histopathology from June 2003 showing perivascular aggregates of small lymphoid cells with occasional large cells. Initial diagnosis at outside institution was CLL. a= June 2003 (H and E, ×4); b= June 2003 (H and E, ×10); c= June 2003 (H and E, ×20). Prior histopathology from November 2003 showing large atypical cells with oval, irregular or indented nuclei and scant cytoplasm in the deep dermis. Initial diagnosis at outside institution was diffuse large B-cell lymphoma. d= November 2003 (H and E, ×4); e= November 2003 (H and E, ×10); f= November 2003 (H and E, ×20)