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May 1984

Malignant Cutaneous Mixed Tumor

Author Affiliations

Mayo Graduate School of Medicine Rochester, MN 55905

New England Medical Center Boston

Arch Dermatol. 1984;120(5):576-577. doi:10.1001/archderm.1984.01650410018006

To the Editor.—  In response to the article by Harrist et al in the November 1981 Archives (117:719-724) entitled "Cutaneous Malignant Mixed Tumor," we report herein on one of the cases (No. 1). The unusual pattern of metastases and the unprecedented clinical course of the tumor prompted us to provide this follow-up evaluation.

Report of a Case.—  In 1973, a 72-year-old man noted a lesion on the plantar aspect of his left foot. The mass gradually enlarged. It was excised in 1978 and diagnosed as a malignant mixed tumor of the skin. In 1980 the patient was admitted to the New England Medical Center, Boston, because of pain in his left leg, at which time roentgenograms showed a large lytic defect in the tibial diaphysis. A biopsy specimen confirmed the diagnosis of malignant cutaneous mixed tumor. The patient received radiation treatment to the tibia. Repeated roentgenograms showed further osseous destruction

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