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Hypernephroma Metastatic to the Skin. Presented by Theodore Cornbleet, MD, and Kusum Chaudhry, MD.
This 45-year-old white man is presented with a fleshy, pedunculated, friable tumor in the midline of the neck, of one month's duration.He had a right nephrectomy performed on Feb 21, 1965. Pathological report on the specimen was "hypernephroma". Shortly thereafter x-ray of the chest revealed bilateral pulmonary metastasis, with effusion on the right. Bone survey was negative, however. Therapy has been essentially palliative.About one month ago he noted a small papule on the chin which has slowly increased to the present size of 2×2½ inches. It is neither painful nor tender but is extremely friable and vascular. There is insignificant cervical adenopathy.
The following values were revealed: hemoglobin, 6.6 gm; leukocytes 5,600, with 61% neutrophils, 30% lymphocytes, 5% monocytes, 2% eosinophils, and 2% basophils. Urine was within normal limits. Blood urea nitrogen
CHICAGO DERMATOLOGICAL SOCIETY. Arch Dermatol. 1966;93(2):245–258. doi:10.1001/archderm.1966.01600200101023
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