The Angry Patient

  • Tien V. Nguyen
  • Jillian W. Wong
  • John Koo
Part of the Clinical Cases in Dermatology book series (CLIDADE)


Mr. Hemingway is 45-year-old business executive with a very busy work schedule. He was seen in your office yesterday morning for a concerning flat, uniformly brown mole that had been expanding from 3 to 8 mm in diameter and darkening for 6 months. A 3-mm punch biopsy of the lesion was performed, and you distinctly remember having placed the skin specimen in its properly labeled container before sending it to the pathology laboratory. This morning, you received a message from the administrative assistant in the lab stating that no specimen was found in the container for Mr. Hemingway. You called the manager of the lab and asked for help. Sadly, after an exhaustive search of the lab, Mr. Hemingway’s specimen still could not be found. You also performed a similar search without finding the specimen.


Punch Biopsy Repeat Biopsy Business Executive Skin Specimen Lunch Break 
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Copyright information

© Springer-Verlag London 2014

Authors and Affiliations

  • Tien V. Nguyen
    • 1
  • Jillian W. Wong
    • 2
  • John Koo
    • 3
  1. 1.Department of DermatologyUniversity of New MexicoAlbuquerqueUSA
  2. 2.Department of DermatologyUniversity of CaliforniaDavis SacramentoUSA
  3. 3.Department of DermatologyUniversity of CaliforniaSan FranciscoUSA

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