History: A 40-year-old male with symptomatic cutaneous growths presented for removal of these lesions. He has had these kinds of skin growths since childhood. He has had several removed, but new ones continue to appear and existing ones increase in size. When they are irritated by traction they become painful and sometimes infected. Most recently, he has had an uncomfortable obstructing growth in his left ear canal and one in his left axilla that has prevented him from using deodorant. He has had large hands since he was a teenager. He had a GH-secreting pituitary tumor removed in 1999 and since then his hands and feet have been stable in size. In 2012 he had an orbital schwannoma removed, which had caused proptosis, ophthalmoplegia and optic neuropathy.
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