The patient is a 62-year-old woman who was seen for a general skin exam. She was last seen almost 5 years ago at which time she had some actinic keratoses on her chest.
Today, she still has some very early actinic keratoses on the chest. In addition, there was a painful area in the left thigh. It is a hard, freely moveable subcutaneous mass that could well be a foreign body from an accident in the past. As it is painful and and has been present for about a year it will be removed.

Two weeks later, the tissue around the hard mass on the left thigh
was excised. It contained a shard of glass

The patient started laughing as soon as we discovered it. Decades ago, she recalleded, she was coming home in the wee hours and all the doors were all locked, She broke in through an open window that shattered as she climbed through it. She sustained a deep laceration in the medial thigh.
The glass shard had been in her leg all of these years and had
migrated to the lateral thigh.
The wound was closed and the sutures were removed after 2 weeks.

As we sutured the wound, everyone was laughing. Anyone who has been, or has parented a teenager can relate to this vignette.