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August 2004

A Freely Movable Subcutaneous Nodule on the Dorsum of the Hand—Quiz Case

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Copyright 2004 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2004

Arch Dermatol. 2004;140(8):1003-1008. doi:10.1001/archderm.140.8.1003-c

A 65-year-old Korean woman presented with a 2-month history of an asymptomatic, slowly enlarging subcutaneous nodule on her left hand. She also had a history of uterine leiomyosarcoma and had undergone a hysterectomy 4 years earlier. On physical examination, a solitary, 1.1 × 1.0-cm, oval, firm, movable subcutaneous nodule was noted on the dorsum of the left hand (Figure 1). The epidermis overlying the nodule was freely mobile. After an incision of the skin surface, the nodule, which was well encapsulated, was easily removed from surrounding tissue (Figure 2 and Figure 3).

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