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May 2013

A Rapidly Enlarging Nodule on the Dorsal Aspect of the Nose—Quiz Case

Author Affiliations
 

SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD; MOLLY A. HINSHAW, MD; ARNI K. KRISTJANSSON, MD; LORI D. PROK, MD

JAMA Dermatol. 2013;149(5):609-614. doi:10.1001/jamadermatol.2013.2081a

A 60-year-old woman presented with a rapidly enlarging nodule on the dorsal aspect of her nose of 2 months' duration. The lesion was asymptomatic and did not drain any type of fluid. She had a history of basal cell carcinoma on the scalp that was treated with Mohs surgery 4 years before and seborrheic dermatitis that was well controlled with topical medications. Physical examination revealed a 1.2 × 1.0-cm soft, skin-colored, nontender, mobile subcutaneous nodule without a visible punctum (Figure 1). The lesion did not transilluminate. A maxillofacial computed tomographic scan (Figure 2) and magnetic resonance image of the head and neck were obtained, and a surgical biopsy specimen was examined microscopically (Figure 3).

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