Solitary Dome-shaped Nodule over the Left Cheek

DOI: 10.4103/ijd.IJD_746_16 A 45-year-old male presented with a single, asymptomatic swelling over the left cheek of 10-year duration. Cutaneous examination revealed solitary 7 mm × 7 mm skin colored to slightly hyperpigmented nontender nodule over the left malar area adjacent to the nose [Figure 1]. It was soft in consistency with limited mobility. The overlying skin was apparently normal with no punctum, surface telangiectasia, or hairs. Other mucocutaneous, general, and systemic examinations were within normal limits. The nodule was excised, and the histopathology revealed dilated cystic follicular infundibulum with multiple attached sebaceous lobules in the wall [Figure 2]. The surrounding stroma was fibroblastic that contained fibrillary bundles of collagen, increased number of dilated venules, clefts, and rudimentary hair follicles [Figure 3]. The dermis also showed numerous sebaceous lobules and adipose tissue.