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JAMA Oncology Clinical Challenge
July 18, 2019

Cutaneous Scapular Lesion in an Elderly Woman

Author Affiliations
  • 1Department of Experimental, Diagnostic, and Specialty Medicine, Policlinico di Sant’Orsola University Hospital, Università di Bologna, Italy
  • 2Department of Medical Oncology, Istituto Scientifico Romagnolo per lo Studio e la Cura del Tumori Solidi (IRST), Istituto di Ricovero e Cura a Carattere Scientifico, Meldola, Italy
  • 3Department of Medical and Surgical Sciences, Policlinico di Sant’Orsola University Hospital, Università di Bologna, Italy
JAMA Oncol. 2019;5(9):1355-1356. doi:10.1001/jamaoncol.2019.1754

An 81-year-old woman presented with a 30 cm-wide, easily bleeding, violaceous, cutaneous lesion of the left scapular region with a superinfected necrotic central portion surrounded by satellite telangiectatic papules (Figure, A). The patient first noticed a rapidly expanding, itchy, painful nodule, which measured 3 cm in diameter, 5 months prior to presentation (Figure, B).

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