A 78-Year-Old Tennis Player With a Growth on His Scalp

Carl H. Manstein, MD, MBA; Samuel Max Manstein


July 20, 2016


Figure. Growth on scalp of 78-year-old man with Fitzpatrick skin type I.

A 78-year-old man with Fitzpatrick skin type I presents with a growth on his scalp (Figure). His medical history includes coronary artery bypass grafting x 3, hypertension, and benign prostatic hypertrophy with a prostate-specific antigen (PSA) of 8. He is an avid tennis player and has been playing competitively since college. He was recently treated for lateral epicondylitis with a steroid injection into his right elbow. The growth on his scalp has been present for 6 months and has slowly grown in size. It has not bothered him in any way, but he comes to the office at the insistence of his wife.


Question 1.


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