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June 1988

A Tender Blue Cyst on the Leg

Author Affiliations

Medical College of Georgia, Augusta (Dr Lesher), and Dwight David Eisenhower Army Medical Center, Fort Gordon, Ga (Dr Guill)

Arch Dermatol. 1988;124(6):939-940. doi:10.1001/archderm.1988.01670060085024

REPORT OF A CASE  A 47-year-old man presented to the Dermatology Clinic at the Dwight David Eisenhower Army Medical Center at Fort Gordon, Ga, seeking treatment for a lesion that had been present on the lateral aspect of his left leg for about three years. He stated that the lesion had slowly grown in size over that time, that it was occasionally painful, and that recently it had become very tender but was otherwise asymptomatic.The lesion was bluish and on palpation was felt to be a very firm cystic lesion (Fig 1). By both inspection and palpation, the borders of the cyst seemed to blend into the surrounding normal skin.After appropriate skin preparation and injection of 1% lidocaine solution for local anesthesia, the lesion was removed through a fusiform excision using meticulous sharp and blunt dissection so as not to rupture the cyst. The intact cyst was adherent

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