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Gradually Enlarging Bilateral Facial Nodules
T. J. Giuffrida, MD;
David Schoenfeld, MD;
Calvin O. McCall, MD
Emory University School of Medicine (Drs Giuffrida and Schoenfeld) and Grady Memorial Hospital (Dr McCall), Atlanta, Ga
Arch Dermatol. 2001;137:657-662.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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REPORT OF A CASE
A 56-year-old African American woman presented with a 2- to 3-year history of progressively enlarging nodules on both cheeks. The lesions were asymptomatic but of cosmetic concern. The patient had not previously sought treatment and denied any family history of similar disease. She was otherwise healthy and had no prior significant medical problems. Physical examination revealed approximately 3-cm masses of grouped, doughy, mobile, compressible nodules on both cheeks (Figure 1). There were no identifiable puncta. No other skin abnormalities were present. A punch biopsy specimen was obtained (Figure 2).
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Figure 1.
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Figure 2.
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What is your diagnosis?
Diagnosis: Apocrine hidrocystoma.
Histopathologic examination revealed cystic spaces in the dermis, with some papillary projections. There were an inner layer of cells with abundant cytoplasm and basally located nuclei, an outer layer of spindle-shaped cells, and areas of decapitation secretion.
Apocrine . . . [Full Text of this Article]
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