A 56-year-old African American woman presented with a 2- to 3-year history of progressively enlarging nodules on both cheeks. The lesions were asymptomatic but of cosmetic concern. The patient had not previously sought treatment and denied any family history of similar disease. She was otherwise healthy and had no prior significant medical problems. Physical examination revealed approximately 3-cm masses of grouped, doughy, mobile, compressible nodules on both cheeks (Figure 1). There were no identifiable puncta. No other skin abnormalities were present. A punch biopsy specimen was obtained (Figure 2).
Giuffrida TJ, Schoenfeld D, McCall CO. Gradually Enlarging Bilateral Facial Nodules. Arch Dermatol. 2001;137(5):657-662. doi: