The sclerotic fibroma is usually an isolated lesion, but can be the presenting sign of Cowden syndrome.
The typical lesion is a nondescript pearly or flesh-colored papule or flat, well-defined nodule.
The tumor is a round or oval dermal nodule of hyalinized collagen bundles. The collagen is dense except for clefts that take on a typical appearance.
Surgical excision is appropriate. The lesion appears to be benign.
Solitary papule on the shin of a woman in her 70's.
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