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<p>An exoendophytic skin lesion formed of groups of hyperkeratotic and acanthotic squamous epithelium with a central crater formation and a pushing rounded border. Dermis shows focal lymphoplasmacytic infiltrate in relation to border of lesion. Excision of lesion appears complete.</p>
<p class="ql-align-justify">Hyperpigmentation in Lt cheek macule since 4 months, pt. complain multiple macules in the body and posterior neck. Previous biopsy elsewhere revealed squamous cell carcinoma.</p>
<p class="ql-align-justify">Skin ellipse measuring 2.2 x 2 x 1 cm. It showed an ulcerated nodule measuring 1 x 1 cm, located 0.5 cm away from the superior margin, 0.5 cm away from the inferior margin, 0.7 cm away from the medial margin, and 0.7 cm away from the lateral margin</p>
<p><strong><em><u>Cheek skin lesion, excision:</u></em></strong></p><ul><li class="ql-align-justify">Keratoacanthoma. </li><li class="ql-align-justify">Excision is complete.</li></ul><p class="ql-align-justify"><br></p><p class="ql-align-justify"><strong><u>COMMENT:</u></strong></p><h5 class="ql-align-justify"> Keratoacanthoma is a squamoproliferative tumor that may regress spontaneously. In the most recent WHO classification, it is categorized as a tumor of low malignant potential, hence follow up is advised as about 8% of keratoacanthomas will recur locally and very rarely they may metastasize.</h5>
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