Female, 79 y.o. This year the patient underwent the biopsy of the soft tissues of the shoulder in another clinic. The diagnosis is skin appendage cancer. There are no slides from the clinic. The mass in the shoulder is totally excised. The size of the delivered skin flap is 18,5x13x12,5 cm. The skin surface is nodular, ulcerated. At the cut surface we see a node mass of 13,5x7x3 cm in size located in the dermis and underlying soft tissues. It is light grey with soft and bleeding areas. We present you two slides for the discussion.