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.
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.
WHAT IS YOUR DIAGNOSIS?
HOW WOULD YOU TREAT THIS PATIENT?