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A Large Ulcerated Tumor on the Back
Raymond T. Kuwahara, MD;
Theodor M. Rudolph, MD;
Robert B. Skinner, Jr, MD;
Ron D. Rasberry, MD
University of Tennessee, Memphis
Arch Dermatol. 2001;137:1367-1372.
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REPORT OF A CASE
A 48-year-old white man with a 7-year history of human immunodeficiency virus presented with a large ulcerated tumor on his back. His medical history included surgical removal of a colon cancer 20 years earlier. He had no family history of sebaceous carcinoma or cancer of the gastrointestinal tract. His last CD4 cell count was 4 µL (reference range, 400-2120/µL), and he had felt weak for the past few months.
On physical examination, an ulcerated tumor measuring 15 x 7 cm in greatest dimension was observed on the patient's upper back area (Figure 1). Necrotic tissue was seen on the surface of the tumor. Further skin examination revealed no similar lesions. A 4-mm punch biopsy specimen was obtained from the middle of the tumor (Figure 2).
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Figure 1.
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Figure 2.
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. . . [Full Text of this Article]
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