Indian Journal of Dermatology
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Year : 2015  |  Volume : 60  |  Issue : 4  |  Page : 425
A painless nodule on the face of 60 year old female

Department of Dermatology, Seth G.S. Medical College and K.E.M. Hospital, Parel, Mumbai, India

Date of Web Publication10-Jul-2015

Correspondence Address:
Dr. Avinash A Sajgane
87/204 A Wing Madhukunj CHS, Nehru Nagar, Kurla East, Mumbai - 24
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5154.160555

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How to cite this article:
Sajgane AA, Dongre AM. A painless nodule on the face of 60 year old female. Indian J Dermatol 2015;60:425

How to cite this URL:
Sajgane AA, Dongre AM. A painless nodule on the face of 60 year old female. Indian J Dermatol [serial online] 2015 [cited 2022 Jun 28];60:425. Available from:

A 60 year old female presented with a mass on the right side of the face, since 20 years. The mass was painless and gradually increasing in size. There was no history of trauma prior to the appearance of lesions. There was no history of any discharge from the mass. On examination, there was a single soft sessile nodule of size 3 × 2 cm on the right cheek [Figure 1]. The nodule was mobile over the underlying bone. There was no evidence of discharge, ulceration or cervical lymphadenopathy. There were no other lesions on the scalp and other parts of the body.
Figure 1: A solitary soft nodule

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Punch biopsy and histopathological examination of the lesion was performed.

Microscopic examination revealed multiple basophilic tumour islands packed together in the dermis [Figure 2]. Higher magnification revealed masses of epithelial cells which are surrounded by the hyaline sheath. Island of cells showed dark nuclei at the periphery and pale nuclei at the centre [Figure 3].
Figure 2: Basophilic tumour islands in the dermis

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Figure 3: Masses of epithelial cells showing dark nuclei at the periphery and pale nuclei at the centre with surrounding hyaline sheath

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   Question Top

What is the diagnosis?

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   References Top

Mackie RM. Tumours of the skin appendages. In: Champion RH, Burton JL, editors. Textbook of Dermatology. 5 th ed, vol 2, London: Blackwell Science; 1998. p. 1713-4.  Back to cited text no. 1
Walter K, Edward C, Seykora J. Tumours of the epidermal appendages. In: Elder D, editor. Lever′s Histopathology of the Skin, 8 th ed. Philadelphia: Lippincott Williams and Wilkins; 2005. p. 897-8.  Back to cited text no. 2
Gerretsen AL, van der Putte SC, Deenstra W, Van Vloten WA. Cutaneous cylindroma with malignant transformation. Cancer 1993;72:1618-23.  Back to cited text no. 3
Hammond DC, Grant KF, Simpson WD. Malignant degeneration of dermal cylindroma. Ann Plast Surg 1990;24;176-8.  Back to cited text no. 4


  [Figure 1], [Figure 2], [Figure 3]


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