The patient, a 45-year-old man, had a 6-mm friable nodule that had been present on the palm of his left hand for three months. Although the lesion was not painful, the man noted that it was sensitive when touched. He also mentioned that there was intermittent bleeding and weeping. On further questioning, the patient stated that prior to the growth’s development, he had banged the area on a door. There were no similar lesions elsewhere on his body.
A 65-year-old Hispanic man came to the dermatology clinic for evaluation of an asymptomatic nodule on his leg. Examination revealed a solitary 6-mm crusted lesion that was raised 1.5 mm. There was no bleeding or weeping. On questioning, the patient could not remember how long the nodule had been present. He reported no history of trauma to the area. The patient had grown up in the Dominican Republic and had a long history of extensive sun exposure.