An enlarging pedunculated nodule on the shoulder of a 21-year-old man
Wiggins, J Shipman, A Mentzel, T Carr, Richard
Wiggins, J
Shipman, A
Mentzel, T
Carr, Richard
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Affiliation
South Warwickshire University NHS Foundation Trust; Portsmouth Hospitals University NHS Trust
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Publication date
2018-08-01
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Abstract
A 21-year-old man presented with an 8-month history
of an enlarging lesion on his left shoulder that had
started as a small spot. A general practitioner, suspect ing a boil, had previously prescribed antibiotics and
steroid cream, but the lesion continued to grow. It did
not bleed. The patient was a student. He was other wise well with no relevant personal or family history.
On physical examination, a solid red pedunculated
and nonfriable nodule, 29 9 25 mm, was found. No
vascular channels were seen dermoscopically (Fig. 1a).
The patient had no palpable lymphadenopathy. The
lesion was suspicious for amelanotic melanoma, and
was excised with a 5-mm margin.
Citation
Wiggins J, Shipman A, Mentzel T, Carr RA. An enlarging pedunculated nodule on the shoulder of a 21-year-old man. Clin Exp Dermatol. 2018 Aug;43(6):738-741. doi: 10.1111/ced.13550. Epub 2018 May 14. PMID: 29761530.
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Article