Extradigital sites are rare and have been reported in shoulder,
scapular region, [11] elbow, [12,13,14] forearm, [15,16] wrist, [17] palm, thigh, [1,18,19] knee, [20,21,22] foot, [23,24] toes, [23, 25] stomach, [26] colon, [26] larynx, [27] posteroinferior lung, [28] mediastinum, [29] intramuscular, intravascular, [30] intraneural, cervix, penis and bone, [31,32,33,34,35,36] arm, [36] buttock, [36] leg, [37] ankle, [36] back, [36] nose, [36] cheek, [36] ear lobe [36] and trachea.
The usual site for Becker's nevi is shoulder, anterior chest or
scapular region, but lesions on face, neck and distal limbs have been reported.2 In our study, the upper extremity including forearm, arm and shoulder were the commonest sites.
On examination, there was a cystic swelling overlying the left
scapular region measuring 4 x 3 cm in size, which was smooth walled, fluctuant, nontender, and freely mobile.
On examination, multiple indurated nodules and plaques were present over the left breast, the left retroauricular area, the
scapular region and the neck (Figure 1, 2).