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November 2003

A 2-Year History of an Asymptomatic Scalp Nodule—Quiz Case

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Copyright 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2003

Arch Dermatol. 2003;139(11):1497-1502. doi:10.1001/archderm.139.11.1497-a

A 78-year-old white man presented with a 2-year history of an asymptomatic, slowly enlarging nodule located on the scalp. The patient, who was otherwise in good health, noted increasing weight loss and fatigue during the previous year. His family history was noncontributory.

Physical examination revealed a violaceous, indurated, firm, well-circumscribed, ulcerated nodule that was 5 cm in greatest diameter (Figure 1). A punch biopsy was performed (Figure 2).

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