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October 1985

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol. 1985;111(10):702-705. doi:10.1001/archotol.1985.00800120096014


Anna N. Walker, MD, Philip F. Jones, MD, Macon, Ga  A 66-year-old man was seen initially with a rapidly enlarging scalp mass that had been present for several months. Medical history was normal and negative for the use of any kind of tobacco product. Physical examination revealed a 7 × 8-cm, purple, firm, multinodular mass on the right parietal portion of the scalp. The overlying skin was intact. Chest roentgenogram and routine laboratory test results were all normal. A biopsy of the mass was taken. The patient then underwent an extensive workup for metastatic disease, the results of which were normal.The mass was removed by wide local excision (Fig 1). Figures 2 and 3 are low- and high-power photographs, respectively, of a representative hematoxylin-eosin-stained section of the mass. In addition, ultrastructural examination of the lesion revealed small, peripherally situated, densecore, membrane-bound granules within the

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