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Basal Cell Epithelioma, Morphea Type. Presented by Dr. Walter C. Lobitz Jr., Hanover, N. H.
A 34-year-old white housewife (E. W. #108734) had had a white plaque present on the right cheek since early childhood. The lesion started as a white papule, without history of preceding trauma. During a recent pregnancy, the center of the plaque became pigmented and crusted.
There was a round, chalky-white, firm plaque, 2 cm. in diameter, on the right cheek. There was a raised, pigmented crusted center. Pathologic diagnosis: Basal cell epithelioma, morphea type.
DISCUSSION
Dr. Walter C. Lobitz Jr., Hanover, N. H.: The reason for presenting this case was not only that the lesion clinically resembled morphea, but also because it had been present 30 years on a 34-year-old patient.
Dr. Bernard Appel, Lynn, Mass.: Might this not have been a connective tissue type of nevus, the white nevus, on top of which a