A 75-year-old white man presented with a lesion on his right calf that had been present for more than 50 years. There was no history of antecedent trauma. The lesion was asymptomatic and had not changed in size or texture for years. The patient's medical history was significant for pulmonary tuberculosis at the age of 22 years, and he had a basal cell carcinoma on his chest that had been excised when he was 68 years old.
Physical examination revealed a pedunculated, 12 × 9-mm, fleshy, nontender nodule on the superior aspect of the right calf (Figure 1). The lesion was lobulated and predominantly skin colored, with portions having a violet, dusky hue. A small crust was adherent to the inferior pole. A shave excision was performed (Figure 2 and Figure 3), and the area involved healed uneventfully.
Fullen DR, Blobstein SH, McNutt NS. Asymptomatic Pedunculated Nodule on the Leg of a 75-Year-Old Man—Quiz Case. Arch Dermatol. 2003;139(1):93-98. doi:10.1001/archderm.139.1.93-a