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Published on: August 9, 2024
Exophytic and ulcerated lesion on the leg
María Jose Espiñeira-Carmona1, Salvador Arias-Santiago, José Aneiros-Fernández
1San Cecilio Clinical Hospital, Granada, Spain. mariapepa84@hotmail.com.
A polypoid dermatofibroma, a skin lesion, presented as a rapidly growing, ulcerated nodule on a man's leg. Surgical removal and histological analysis confirmed this benign skin tumor diagnosis.
Area of Science:
- Dermatology
- Pathology
Background:
- Dermatofibromas are common benign skin tumors.
- Polypoid variants can present as exophytic lesions.
Observation:
- A 34-year-old male presented with a 1-year history of a leg lesion.
- The lesion was a 2 cm x 3 cm exophytic nodule with a pedicle, ulceration, and crusting.
- Rapid growth was noted in the preceding month.
Findings:
- Histological examination post-excision confirmed a polypoid dermatofibroma.
- This diagnosis indicates a benign neoplastic proliferation of fibroblasts.
Implications:
- Polypoid dermatofibromas require accurate diagnosis to differentiate from malignant lesions.
- Surgical excision is curative for symptomatic or cosmetically concerning lesions.
- Understanding the clinical presentation aids in early detection and appropriate management.
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