Pedunculated atypical fibroxanthomas of the face.

Abstract

Atypical fibroxanthomas are rare, superficial dermal tumors. Most cases are benign and only locally destructive with a low rate of metastasis. Lesions are most commonly found on sun-exposed sites of elderly light-skinned patients and present as asymptomatic nodules with irregular borders; ulcerations and friability are other key characteristics. Pedunculated lesions, however, are rarely described in the literature. We present two cases of atypical fibroxanthoma manifesting as exophytic, pedunculated lesions on the face: one in a 74-year-old man and the other in an 82-year-old woman. These tumors are very effectively treated by excision with Mohs micrographic surgery.

• Authors: Honglin Xiao, Peter G Bittar, Jay E Wolverton
• Journal: Dermatology online journal (Dermatol Online J) Vol. 26 Issue 10 (Oct 15 2020) ISSN: 1087-2108 [Electronic] United States
• PMID: 33147677 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Aged, 80 and over
• Facial Neoplasms (pathology, surgery)
• Female
• Humans
• Male
• Mohs Surgery
• Neoplasms, Fibrous Tissue (pathology, surgery)
• Skin Neoplasms (pathology, surgery)