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Nodule on the left cheek

The Journal of Family Practice. 2022 January;71(1):39-41 | doi: 10.12788/jfp.0339
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Often mistaken for a cyst or acneiform lesion, this lesion is actually quite aggressive—and worrisome.

An 85-year-old man with a history of skin cancer presented to my dermatology practice (NT) for evaluation of a “pimple” on his left cheek that failed to resolve after 2 months (FIGURE). The patient noted that the lesion had grown, but that he otherwise felt well.

Plum-colored nodule on left cheek

On examination, the lesion was plum colored, and the area was firm and nontender to palpation. The patient was referred to a plastic surgeon for an excisional biopsy to clarify the nature of the lesion.

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