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This is a 45 year old man with multiple facial cysts.

Clinical Findings

    The patient had a several month history of nodules and cysts on the cheek. This photo was taken intraoperatively by the surgeon.  


Microscopic Findings

    Sections show numerous dermal cysts extending deeply into the dermis. Focal connection to the epidermis is noted in other sections not shown.  
  Figure 1      


    The epidermal cysts are lined by keratinizing epithelium surrounding laminated keratin.  
  Figure 2      

    Solar elastosis is noted in the surrounding dermis.  
  Figure 3      

What is your diagnosis?

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Last Updated 12/17/2002

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