“…These includes; ductal differentiation, nests of basaloid cells, squamoid tumor cells, infiltrative spinal cells, cells of acanthotic epidermis, Borst Judasson appearance, ulcerated epithelial tumor, bowenoid porocarcinoma, nests of small atypical cells, clear-cell, high infilterative pattern and hyperchromatic nuclear [7] , [13] , [26] , [62] , [72] , [103] , [102] . Surgery was the main mode of therapy with adjuvant chemoradiotherapy if metastasis and/or recurrence occurred [50] , [82] , [83] , [84] , [85] , [86] , [87] , [88] , [89] , [90] , [91] , [92] , [93] , [94] , [95] , [96] , [97] , [98] , [99] , [100] , [101] , [102] , [103] , [104] . Metastasis was found in 110 (31%) cases [3] , [10] , [63] , [65] , [68] , [73] , [76] , [86] .…”