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Julie E. Dixon, MD; Janine C. Malone, MD
University of Louisville, Louisville, Ky

Arch Dermatol. 2005;141:779-784.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 51-year-old man presented with a growth on his umbilicus that had been slowly enlarging over the past 12 years. The lesion was pruritic and occasionally exuded a malodorous, bloody discharge. The patient reported periodic use of over-the-counter wart treatments on the growth, without improvement, but he denied any other trauma to the area.

His medical history was significant for hypertension and gastroesophageal reflux disease. His medications included hydrochlorothiazide, ramipril, ranitidine, and atenolol. He denied a personal or family history of skin cancer or other dermatologic conditions.

Physical examination revealed a 2.5-cm exophytic, pedunculated, verrucous, skin-colored nodule emanating from the umbilicus (Figure 1). The lesion, which was rubbery and minimally tender to palpation, was partially covered with a serosanguineous crust. There were no other similar cutaneous lesions. The patient’s abdomen was otherwise soft and nontender to palpation. An excisional biopsy . . . [Full Text of this Article]

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