Description

A 46-year-old woman presented with a large painless mass, present for over 10 years, on her right mid-lower back. However, it had increased in size over the past 3 years.

She was a heavy-smoker, with a history of chronic obstructive airway disease.

On examination, there was a large pedunculated mass located on her right mid-lower back (figure 1A–C, lateral view; figure 1D, E, close-up view). It was firm to the touch and non-tender. She had no other skin lesion and there were no palpable nodes. The rest of the examination was normal.