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Rosario Soda; Andrea Paro Vidolin; Luca Bianchi; Sergio Chimenti, MD
"Tor Vergata" University of Rome, Rome, Italy

Arch Dermatol. 2003;139:1497-1502.

	Since this article does not have an abstract, we have provided the first 90 words of the full text and any section headings.

REPORT OF A CASE

A 78-year-old white man presented with a 2-year history of an asymptomatic, slowly enlarging nodule located on the scalp. The patient, who was otherwise in good health, noted increasing weight loss and fatigue during the previous year. His family history was noncontributory.

Physical examination revealed a violaceous, indurated, firm, well-circumscribed, ulcerated nodule that was 5 cm in greatest diameter (Figure 1). A punch biopsy was performed (Figure 2).

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

What is your diagnosis?

SECTION EDITOR: MICHAEL E. MING, MD