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A 6-year-old girl presented with a scalp nodule enlarging from 1 cm to 6 cm over 3 months, within which an ulcer developed over 3 days. Initial impression was an infected cyst requiring wound debridement. Examination under anaesthesia revealed features not in keeping with an infection (figure 1). The cyst had firm to hard consistency. There was a further finding of a 4 cm splenomegaly without hepatomegaly. No …
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