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Multiple Dermatofibroma (Histiocytoma) of Face. Presented by Dr. Paul J. Catinella, Boston.
S. R., 58 years old, presents lesions on his face, of twenty years' duration. These small, hard, nontender tumors have been appearing gradually and are entirely asymptomatic.
The lesions are rather well scattered over the anterior aspect of the face. There is distinct grouping over the center of the forehead, where the majority of lesions appear. These are fairly uniform-sized, flesh-colored tumors averaging 4 to 5 mm. in diameter. They are firm, nontender, domed, flesh-colored tumors, with slight translucence, and present a somewhat cystic appearance.
Histopathologic examination of a biopsy specimen revealed circumscribed collections of fibroblasts with many foam cells. No treatment has been administered.
DISCUSSION
Dr. Francis P. Mc Carthy, Boston: The terminology of sclerosing angioma suggests a primary hemangioma that undergoes sclerosis. Ultimately it undergoes involution somewhat and becomes a fibrous lesion. If I examined