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July 1985

Arm Tumor Resembling a Supernumerary Nipple

Author Affiliations

Columbia-Presbyterian Medical Center, New York

Arch Dermatol. 1985;121(7):927-928. doi:10.1001/archderm.1985.01660070117032

REPORT OF A CASE  A 50-year-old woman presented at the Columbia-Presbyterian Medical Center dermatology clinic, New York, with an eight-month history of a pruritic mass, which recently had become larger, on her right arm. There had been no trauma to the site prior to onset and no history of similar lesions. The patient's dermatologic history included the removal of two firm papules—one on the left anterior aspect of her tongue and one on her right lower lip-13 years previously, without recurrence. Her medical history was also notable for the removal of a meningioma of the sella 21 years earlier, with resultant hypothyroidism and hypoadrenalism requiring replacement therapy.Physical examination revealed a 1.7 × 2.0-cm oval, firm, brown, cone-shaped, nontender tumor on the inside of her right arm. Its shape resembled that of a supernumerary nipple (Fig 1). No skin markings were apparent. The tumor appeared affixed to a slightly wider,

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