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Cholangiocarcinoma with a metastatic umbilical lesion

BMJ 2018; 363 doi: (Published 11 October 2018) Cite this as: BMJ 2018;363:k4041
  1. David Harrington, infectious disease registrar,
  2. Christina George, dermatology registrar,
  3. Hazem Ibrahim, consultant dermatopathologist,
  4. Sanjay Bhagani, consultant in infectious diseases and HIV
  1. Royal Free Hospital, London, UK
  1. Correspondence to D Harrington davidharrington{at}

A 59 year old man with a renal transplant and well controlled HIV infection presented with an enlarging, firm, and intermittently discharging crusted umbilical nodule (fig 1). He gave a history of …

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