A 78 yo man with a history of non-melanoma skin cancer presented today for a general skin exam: a six month check-up. It is high spring now and everyone is outdoors doing something. On his left mid-back I spied this unusual "tumor." The patient was unaware of it. He was pruning apple trees two days ago.
If he hadn't come in for a routine exam, who knows when this would have been discovered.
I pulled the tick out with forceps, gave him 200 mg of doxycycline to take and will see him back as necessary.
Strange and stranger. What some call an "incidentaloma."
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