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A, A 59-year-old woman with localized tissue overgrowth on the dorsum of the first 2 toes of the right lower extremity. B, Lymphoscintigram image 45 minutes post injection showing normal uptake of radiolabeled tracer in the inguinal lymph nodes and no dermal backflow bilaterally. C, Postoperative appearance of foot. D, Hematoxylin–eosin image showing separation of the collagen fibers by increased mucin deposition; there is no increase in dermal fibroblasts (×40).
