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July 1977

Atypical Fibroxanthoma

Arch Dermatol. 1977;113(7):986. doi:10.1001/archderm.1977.01640070120032

To the Editor.—  In the August 1976 issue of the Archives (112:1155-1157), Goette and Odom present a case report entitled "Atypical Fibroxanthoma Masquerading as Pyogenic Granuloma." In their presentation they make several strong statements that add to their argument, with which I must take issue.The future of a lesion that bears this diagnosis is not at all certain, and as they point out, "It has no characteristic morphological features that permit a diagnosis on clinical grounds alone, and, therefore, necessitates a biopsy for diagnosis." They go on: procedures be avoided, it is imperative that clinical and histological aspects of every lesion that receives a serious consequential diagnosis be analyzed critically to avoid grave pitfalls of judgement clinically, histologically, and most important, therapeutically.I am afraid that despite every scrutiny given by experts, these tumors can and do kill. Goette and Odom noted several reports in their article. I think