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Solitary Nodule on the Thigh—Quiz Case
Andrew L. Ondo, MD;
Stuart D. Shanler, MD;
Jesse Y. Howell;
Robert E. Cashman, MD;
Clay J. Cockerell, MD
University of New Mexico School of Medicine, Albuquerque, and Las Cruces Dermatology Associates, Las Cruces, New Mexico (Dr Ondo); New Mexico State University, Las Cruces (Mr Howell); and University of Texas Southwestern Medical Center, Dallas (Drs Cashman and Cockerell); Dr Shanler is in private practice in New York, New York
Arch Dermatol. 2008;144(2):255-260.
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REPORT OF A CASE
A 79-year-old woman presented with a pink nodule on the anterior left thigh that measured 10 x 12 mm. The patient reported that the lesion had been present for at least 10 years without change. It was asymptomatic other than occasional tenderness if bumped (Figure 1).
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The patient's medical history was significant for a malignant melanoma removed from the left thigh in 1965 as well as several basal cell carcinomas and a squamous cell carcinoma removed from the head and neck region.
Physical examination revealed no other suspect lesions and no adenopathy. A punch biopsy specimen was obtained (Figure 2 and Figure 3).
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Figure appears in full text version.
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What is your diagnosis?
SECTION EDITOR: MICHAEL E. MING, MD, MSCE; ASSISTANT SECTION EDITORS: CARRIE ANN R. CUSACK, MD; SENAIT W. DYSON, MD; JACQUELINE M. JUNKINS-HOPKINS, MD; VINCENT LIU, MD; KARLA S. ROSENMAN, MD
RELATED ARTICLE
Solitary Nodule on the Thigh—Diagnosis
Arch Dermatol. 2008;144(2):255-260.
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