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THE CASE:
An overweight 13-year-old girl, with a body mass index of 29, presented with a lump in her axilla for the fourth time in the past several months. This time, the lump recurred in the left axilla; it had developed in the right axilla on 2 other occasions. Findings from her physical examination were otherwise normal. During the next week, the lump enlarged and then spontaneously drained, following the same course as the previous lumps. There was no family history of such a condition.
     


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