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Clinical history
A 50-year-old woman presented with groups of multiple small, round, whitish papules on her cheeks. Biopsy was take from one of the papules. There was no significant prior medical history and this was the first presentation to a dermatologist.
Review the high-quality, interactive digital Aperio slides at http://virtualacp.com/JCPCases/jclinpath-2019-206165_1/ and http://virtualacp.com/JCPCases/jclinpath-2019-206165_2/ and consider your diagnosis.
What is your diagnosis?
Fibrous papule
Fibrofolliculoma/trichodiscoma
Basaloid follicular hamartoma
Trichofolliculoma
Pan-folliculoma
Answer
B Fibrofolliculoma/trichodiscoma
Discussion
The diagnosis is fibrofolliculoma. The histological examination shows a non-encapsulated fibrous lesion with central keratin-filled follicular structures. Thin strands of epithelium extended from the follicles, with some joining sebaceous ducts or anastomosing with other strands. A sclerotic fibrous proliferation of mucinous connective tissue …
Footnotes
Handling editor Tahir S Pillay.
Contributors Case report.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Commissioned; internally peer reviewed.
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