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August 1988

A Solitary Nodule of the Left Cheek

Author Affiliations

Massachusetts General Hospital/Harvard Medical School, Boston (Drs Kibbi and Mihm), and Columbia Hospital, Milwaukee (Dr Koenig). Dr Scrimenti is in private practice in Milwaukee.

Arch Dermatol. 1988;124(8):1275-1276. doi:10.1001/archderm.1988.01670080087027

REPORT OF A CASE  A 58-year-old woman presented to her family physician with an asymptomatic red bump over her left cheek. The lesion started as a small papule and had grown in size at a relatively rapid rate over a period of one month. There was no history of preceding skin lesion at the site. The patient's medical history revealed that she had been hypertensive but adequately controlled with an antihypertensive medication. She denied any history of systemic complaints such as fever, weight loss, or malaise; her medical history was noncontributory.Physical examination disclosed a 1.3 × 1.2-cm erythematous and semifirm nodule on the left cheek (Fig 1). No other physical findings were noted. Due to the rapid onset of the lesion, the diagnosis of malignant lymphoid infiltrate was suspected and the patient was referred to a surgeon for an excisional biopsy.Hematoxylin-eosin-stained sections of the biopsy specimen exhibited a

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