Back issues No.4 - 2006 / Resident Forum  

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A Large Elevated Tumor on the Back of a 78-year-old Man
Chia-Mao Tsai , Tsen-Fang Tsai , Yu-Fu Chen , Chih-Ming Hung

A 78-year-old long term bed-ridden man presented with a progressive enlarged tumor on lower back for two years. He has underlying disease of cerebro-vascular accident and respiraroty failure for three years. The skin lesion was asymptomatic. It presented with red to violaceous color and cerebriform surface in appearance. The tumor measured 53×47×3 mm in size. On physical examination, the elevated plaque was soft, oval shaped, and papillomatous, with sharply demarcated edges and scaly lesions (Fig 1). A skin biopsy was performed on the lateral margin of the lesion.

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