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Diagnose this Zebra

Exophytic perianal nodule With Anthony W. Linfante, MD, and Brent Kelly, MD CASE HISTORY A 52-year-old male Pacific Islander presented to the dermatology consult service with a 2-year history of a very slowly growing pigmented, exophytic perianal mass of about 2cm in diameter (Figure 1). The lesion was neither painful nor pruritic but did occasionally […]