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This bump was increasing in size directly over the spine and starting to become tender. Thanks to my patient for sharing her procedure! Interesting double lining in the sac dissection. Lots of dry content underneath the Dilated Pore of Winer (DPOW). Blackhead on back with cavernous pocket underneath. Running stitch closure. Dermatology procedure. Dermatology Physician Assistant. Excision and closure. Enlarged pore on back with surprise underneath. MrPopZit.