Adnexal Carcinoma Masquerading as a Granuloma Fissuratum

To the Editor.—  Granuloma fissuratum masquerading as a basal cell carcinoma is a well-known entity. We report a case of adnexal carcinoma masquerading as a granuloma fissuratum. Although several reports have emphasized that the diagnosis can be established on clinical grounds, surgical diagnosis is recommended for all suspicious tumors.Since granuloma fissuratum was first described by Sutton,¹ several reports on this entity emphasized its clinical characteristics and benign nature. It is hoped that the following case report will alert the practitioner to the possibility that some nodular lesions with a central crease in the postauricular area are not benign lesions.

Report of a Case.—  Our patient had a one-month history of a nodule on the superior aspect of the left postauricular area. The patient wore glasses, and the earpiece on the left rested in the center of the lesion (Fig 1). On inspection, there was a 1.1-cm nodule with