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ABSTRACT BACKGROUND Clear cell sarcoma (CCS) is a rare but aggressive malignancy that typically occurs in young adults and is characterized by soft tissue tumors of the extremities

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The flat, dark elements of nevus spilus may demonstrate foci of increased melanocytic hyperplasia or melanocytic dysplasia (architectural disorder and variable cellular atypia), whereas the raised elements usually contain collections of nevomelanocytes in the epidermis and/or dermis