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August 1989

Recurrent Facial Nodule

Author Affiliations

Northwestern University Medical School, Chicago, Ill

Arch Dermatol. 1989;125(8):1127-1128. doi:10.1001/archderm.1989.01670200103019

REPORT OF A CASE  A 44-year-old man presented with a recurrent asymptomatic solitary facial lesion (Fig 1). One year prior to presentation, the lesion was removed by surgical excision at another institution. It recurred 8 months later and was slowly enlarging. The patient was otherwise in good health. On physical examination, the nodule was firm, nontender, and well circumscribed. It measured 1.4 cm in diameter and was not adherent to the labial mucosa. Results of the rest of the physical examination were normal, including the absence of lymphadenopathy. Results of a laboratory workup, consisting of a complete blood cell count with differential, measurement of serum electrolytes, hepatic and renal profiles, and a chest roentgenogram, were normal.A 3-mm punch biopsy specimen was obtained and stained with hematoxylin-eosin (Fig 2). A week later we received the histologic slides from the previous excision, when the lesion had been diagnosed as a benign