Kaposi's sarcoma.

A case of idiopathic multiple hemorrhagic sarcoma of Kaposi showing two lesions only, one on the scalp and the other on the forehead, presents features which warrant its recording. An Italian male of sixty-five years had two small, painless lumps on his scalp and forehead. They had been first noticed four months before, and the upper one had been operated on under a diagnosis of cyst. The wound had failed to heal and the lesions had continued to grow. Examination showed on the scalp, just above the hair line, an elevated, pinkish red nodule with smooth, tense surface, measuring 2 cm. in diameter; 2 cm. from it, just below the hair line, was a similar, slightly smaller nodule (Fig. 1). Both had depressed centers and were indurated but movable on the deep fascia. The patient's past history and the family history were without significance. A clinical diagnosis of basal-cell carcinoma was made and the two nodules were widely excised by Dr. A. Zimany, together with an area of skin and scalp measuring 8 X 3 cm. A pedicle flap from the left side of the forehead was sewed in place and the remaining defect covered by a Thiersch skin graft. Pathological examination showed two rounded tumors, similar in size and appearance and separated by 2 cm. of normal skin. The upper one was slightly ulcerated. On section