Cutaneous Pseudoepitheliomatous Hyperplasia from a Displaced Metallic Orthopedic Implant

Table 1

Timeline of events.

Event	Finding(s)	Intervention(s)
Initial evaluation by PA	Lesion identified on the left lateral malleolus	Shave biopsy performed
1 week later
Treatment with 1^st MD	Biopsied lesion	ED&C with pathology
6 months later
Reevaluation with 1^st MD	Concern for recurrent lesion	Debulk with pathology performed definitive treatment scheduled
3 weeks later
Definitive treatment with 2^nd MD	Recurrent lesion	Mohs surgery
Intraoperation
Surgery cessation	Discovery of displaced metallic orthopedic implant	Referral to orthopedics

Electrodessication and curettage; PA = physician associate; MD = medical doctor.