To the Editor: A 52-year-old woman was referred in 2003 for cutaneous examination following excision and radiotherapy of a left tonsillar squamous cell carcinoma in 2000. Her personal history was remarkable for her developing asymptomatic cutaneous nodules since the age of 20 years and uterine fibroids requiring hysterectomy at 28 years; she underwent bilateral oophorectomy for symptomatic ovarian cysts at the age of 48. She had a family history of early-onset uterine fibroids.
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