A 78-year-old man presented with a skin nodule on the forehead. The lesion grew rapidly over a period of two months. Physical examination showed a 3 × 3 cm firm exophytic erythematous papule with very shallow overlying excoriation on the left forehead. A full skin check did not reveal any other lesion. There was neither palpable lymphadenopathy nor hepatosplenomegaly. A CT scan of chest and abdomen also showed no lymphadenopathy. A 4-mm punch skin biopsy was performed (Fig. 63.1). In the follow-up visit one month later, the patient claimed that the skin nodule was enlarged and two new small nodules appeared.


Anaplastic Large Cell Lymphoma Skin Nodule Punch Skin Biopsy Lymphomatoid Papulosis Palpable Lymphadenopathy 
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