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Laurentia Nodit, MD; Jennifer L. Hunt, MD
University of Pittsburgh Medical Center, Pittsburgh, Pa

Arch Otolaryngol Head Neck Surg. 2003;129:591.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 76-YEAR-OLD white man discovered a lesion on his forehead in September 2001. He complained of symptoms related mainly to local bleeding and rapid growth of the lesion. Clinical examination revealed a bruiselike macule, measuring 15 x 10 cm, with an irregular, ulcerated, bleeding plaque. The lesion involved the entire forehead, and there were several purple-red satellite nodules covered by a gray-black crust. There was no lymphadenopathy in the neck, and a metastatic workup revealed no abnormalities.

A wide surgical excision of the skin of the forehead showed a poorly circumscribed mass, with extensive superficial ulceration (Figure 1). The tumor invaded deeply into the dermis but did not involve the scalp aponeurosis (Figure 1, inset).

Figure appears in full text version. Figure 1.

Histologically, there was an ill-defined, intradermal mass composed of dilated, irregular, blood-filled channels dissecting through the dermal collagen bundles (Figure 2. . . [Full Text of this Article]

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