Large nodule in the shoulder of an elderly woman

Patrícia Amoedo, Department of Dermatology and Venereology, Centro Hospitalar Universitário de São João, Porto, Portugal Pedro Matos, Department of Dermatology and Venereology, Centro Hospitalar Universitário de São João, Porto, Portugal Ana R. Coelho, Department of Pathology, Centro Hospitalar Universitário de São João, Oporto, Portugal Maria J. Cruz, Department of Dermatology and Venereology, Centro Hospitalar Universitário de São João, Porto; Department of Medicine, Faculty of Medicine, University of Porto, Porto; Portugal

A Caucasian 82-year-old woman was sent to the emergency department due to a rapidly growing nodule on her left shoulder (Fig. 1).