Abstract
A 13-year-old African-American female patient presented for a large epidermal nevus of her right shoulder and right axilla to our clinic. It had never been treated before and she had no history of hypertrophic scars or keloids. The lesion was extremely irritating with movement in the axillary body fold, becomingly increasingly malodorous, and cosmetically bothersome to the patient. The most medial aspect of the lesion was encroaching on the lateral edge of her breast tissue. The patient and her mother desired removal of the lesion and were very concerned about scarring especially due to the proximity to the developing breast.
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