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A case of a 24-year-old female with a two-year history of an intermittently crusting lesion of her scalp is presented. The relatively innocuous-appearing sebaceous nevus, present since birth, made a malignant transformation to an apocrine carcinoma, betrayed by intermittent crusting of a portion of the hamartoma. Current management of sebaceous nevus and apocrine carcinoma is discussed.

Apocrine Carcinoma Arising in a Sebaceous Nevus of the Scalp in a 24-Year-Old Female