Figure 3: Excision biopsy from scalp lesion shows metastatic adenocarcinoma in the dermis (A) Hematoxylin and Eosin staining x200. Neoplastic glands show a positive reaction to immune-histochemical staining for cancer cells to CK7 (B) and CK20 (C) original magnification x 200. (D) Tumour cells are positive for Mesothelin immune-staining (x200).