Cylindrome. 72-year-old female patient with familial multiple Cylindromas (Brooke-Spiegler syndrome). Differently large aggregated papules interspersed with telangiectasias and smooth nodules in the region of the temple.
Angiosarcoma of the head and facial skin. slow, chronic progression without subjective complaints. initially contusiform, blue-red discolored skin, later angiomatous nodules and the development of multiple satellite metastases.
Basal cell carcinoma, nodular. solitary, 1.0 x 1.2 cm large, broad-based, firm, painless nodule, with a shiny, smooth parchment-like surface covered by ectatic, bizarre vessels. Note: There is no follicular structure on the surface of the nodule (compare surrounding skin of the bridge of the nose with the protruding follicles).
Basal cell carcinoma (overview): Nodular, centrally decaying basal cell carcinoma, excessive spread; diagnostically important are the bizarre, large-calibre tumour vessels that extend mainly over the peripheral areas.
Mycosis fungoides tumor stage: Mycosis fungoides has been known for many years; continuous occurrence of plaques and nodules on the face and upper extremity for months; striking emphasis on the follicular structures.
Granuloma eosinophilicum faciei (Granuloma faciale). 6-month-old finding in a 7-year-old child. Slightly raised, moderately coarse, brown-red plaques with dilated follicle ostia. No other complaints. Brown-reddish infiltrate of the patient's own body under glass spatula pressure.
tinea faciei. itchy and moderately painful, livid-reddish, rough, scaly plaque with intact or burst pustules on the surface. on pressure discharge of pus. patient has received 15mg methotrexate p.o. for several years because of polyarthritis. the present finding can also be called granuloma trichophyticum (majocchi).
Granuloma anulare perforans: Presence of a disseminated granuloma anulare with multiple shiny papules, some of which show central ulceration (see inlet).
Acne infantum. multiple, chronically active, localized on cheeks and forehead, disseminated, firm, moderately painful, red follicular papules. combination with pustules and red atrophy.
Myxoma, cutaneous. reddish rim of a papule with central crustal coating after evacuation of a mucous content in the area of the forehead hairline of a 36-year-old female patient.
facial granuloma: red lump, existing for 5 years now, slowly progressing in size and limited in size. small secondary plaques in the surrounding area. histological findings characterized by increasing fibrosis. findings 2 years later (see initial findings in fig., before). treatment with fast electrons. after that clear regression. no further progression. note smooth surface relief. no follicle drawing.
Complicative basal cell carcinoma with complete destruction of the auricle and the external auditory canal. Here, it is impressive as a crater-shaped ulcer. Typical is the raised, shiny rim.
Pilomatrixoma: Reddish-brown, calotte-shaped, painful lump, which is movable in relation to the underlying surface and has been slowly progressive for 2 years.
Acne cystica, densely sown, yellowish-white, skin-coloured sebaceous retention cysts and numerous "ice-pick" scars in the cheek and chin area of a 34-year-old woman.
Pilomatrixoma (Epithelioma calcificans): Reddish-brown, calotte-shaped node that is displaceable in relation to the underlying tissue, slightly painful, slowly progressive.
angiosarcoma of the head and facial skin. for several years (!) increasing, so far completely asymptomatic, blurred, red spots on cheeks and forehead in a 75-year-old man. medical consultation because of recurrent, extensive bleeding in lesional skin. since one month growth of a soft, 8 mm large, solid blue-black node in the middle of the cheeks. extensive, configured redness with bizarre, linear and reticular telangiectasia. bleeding in the zygomatic bone.
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