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June 1977

Carcinoma Occurring in Rhinophyma

Author Affiliations


Arch Dermatol. 1977;113(6):847-848. doi:10.1001/archderm.1977.01640060143027

To the Editor. —  Rhinophyma, a glandular hyperplastic type of acne rosacea, has been reported to be associated with carcinoma.1-5 We are reporting a case with basal and basosquamous carcinoma that provides morphologic evidence that the neoplasm arose directly from the rhinophyma.

Report of a Case.—  A 65-year-old man first noted a slight swelling of his nose in 1956. In 1967 he had a small pigmented lesion excised from his nose that he stated was benign. The diagnosis of rhinophyma was made in 1973 because of excessive sebaceous activity and the presence of multiple cysts along the dorsum and tip of the nose and malar eminences. He had a chronic malodorous discharge from his nose but did not note any frank episode of infection.In June 1975, biopsy of the rhinophyma at another hospital revealed basal cell carcinoma. He was then referred to Oakland Veterans Administration Hospital for further

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