Are You Confident of the Diagnosis? What you should be alert for in the history Patients present with a soft or firm, skin-colored nodule arising anywhere along an imaginary line extending from on or near the tragus to the angle of the mouth (Figure 1). Accessory tragi may also arise on the neck along the…
Are You Confident of the Diagnosis? What you should be alert for in the history Patients typically will have a prior history of an noninflamed cyst that had appeared as a firm mobile intradermal or subcutaneous nodule. Patients may report that pressure to the previously noninflamed cyst had produced a discharge of thick cheesy keratinous…
Are You Confident of the Diagnosis? What you should be alert for in the history Atypical fibroxanthoma (AFX) typically presents with the sudden onset of an asymptomatic, solitary, growth of the head and neck. Bleeding and ulceration are common. Patients are commonly elderly and have a history of extensive sun exposure or previous skin cancers.…
