An elderly man presents with this large, crusting, growing tumor of the left temple.
ATYPICAL FIBROXANTHOMA
An atypical fibroxanthoma (AFX) is a skin cancer that carries a low risk for metastasis but a high rate of local recurrence. In many ways behaves like a squamous cell carcinoma (SCC). It most commonly occurs in an older men on the head and neck, presumably related to chronic sun exposure.
- A solitary papule which grows to an ulcerated nodule on the head or neck in an older white person is characteristic.
- Bleeding and ulceration are common.
- Metastasis may rarely occur.
Treatment, Brief Overview
Mohs surgery is preferred as it has a lower local recurrence rate than wide local excision.
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