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January 1997

Solitary Facial Lesion

Author Affiliations

Dwight D. Eisenhower Army Medical Center, Fort Gordon, Ga

Arch Dermatol. 1997;133(1):101-102. doi:10.1001/archderm.1997.03890370107018

REPORT OF A CASE  A 60-year-old white man was referred to our clinic for evaluation of an "irritated and suspicious-appearing" chronic lesion on his left cheek during a hospitalization for atrial fibrillation and exacerbation of chronic obstructive pulmonary disease. His medical history was also significant because of moderately differentiated adenocarcinoma of the colon (Dukes stage IIB), for which he underwent a left hemicolectomy in 1984; well-differentiated adenocarcinoma of the lung, for which he underwent a right lower lobe wedge resection in 1988; atherosclerotic coronary artery disease; and cardiac valvular disease.On examination, the patient was noted to have a 4-cm yellow telangiectatic plaque on his left cheek. The superior pole of the plaque showed a hyperkeratotic papule arising from within a more exophytic region of the plaque (Figure 1 and Figure 2). The hematoxylin-eosin—stained pathologic specimen from punch biopsy is shown in Figure 3.Of additional note, the patient has