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EditorA 45-year-old man presented with a complaint of a 4-month history of two progressively enlarging skin tumours, one each on the occipital scalp and nape (Fig. 1a,b). Initially, the scalp lesion began first, and the nape lesion developed a few days later. Multiple enlarged lymph nodes could be palpated in the neck and supraclavicular area. Incisional biopsies of both lesions were