REPORT OF A CASE
A 70-year-old woman was examined for the first time in April 1981. She presented with a red and infiltrated nodular lesion (3.5 cm in diameter) on her left leg. The lesion was clinically interpreted as an achromic melanoma or a metastatic carcinoma and was surgically removed and diagnosed histologically as undifferentiated carcinoma. The lung was suggested as a possible primary site. Physical examination did not reveal a primary tumor. In February 1982, the patient returned with six additional cutaneous nodules on the same leg, ranging 3 to 5 cm in diameter. These recurrent lesions were treated with a wide excision. The patient was readmitted to the hospital in October 1982, with several painless nodules on her left leg. The nodules measured 2 to 14 cm in diameter and were covered by thin, shiny, or ulcerated skin (Fig 1). Palpable left inguinal lymph nodes were observed.Representative
Aneiros J, Moral RGD, Aguilar D, Caballero T. Multiple Nodules on the Leg. Arch Dermatol. 1987;123(5):655–656. doi:10.1001/archderm.1987.01660290123030
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