October 2009



History: A 64-year-old Caucasian male presents with a chief complaint of an enlarging growth on the right leg.  It appeared 7 months prior to presentation.  The patient denies itching, but the lesion frequently bleeds.

Past Medical History: Coronary artery disease, Hypertension

Medications: ASA, lisinopril, lasix

Family History: No history of skin cancer

Physical Exam: On the right leg, there is a firm 2.8 cm red eroded exophytic tumor that is fixed to the skin and non-tender.  No lymphadenopathy.

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