A 57-year-old Chinese man presented with a 3-month history of a slowly growing ulcerated nodule on his scalp. The lesion, which had developed as a small asymptomatic erythematous nodule, did not concern the patient much initially. However, the lesion persisted and gradually enlarged, and shortly before the patient’s visit to the dermatology clinic, it became ulcerated and bled easily. The patient’s medical history was unremarkable. A review of systems revealed no other abnormalities except for a recent weight loss of 6 kg.