An 83-year-old white American woman of European descent
presented to the Dermatology clinic complaining of a small
painless “lump” on her left cheek that had been present
for several months. She did not have a past history of any
significant medical illness including any neoplastic disease.
Physical examination revealed a 7mm soft papule with
overlying intact skin on the left cheek. There was no evidence
of any sun-induced skin lesion. There were no palpable
lymph nodes in the neck. Clinical impression was that
of a benign subcutaneous nodule such as a lipoma. The
patient was advised of conservative follow-up, but the patient
insisted on having the lesion removed.
An excisional biopsy was performed.