A 15-year-old female presented with recurrent hyper-pigmented papule on her left cheek. The lesion appeared when she was 10 years old. It was diagnosed as benign tumor at many hospitals and excised two years ago. However, the lesion reappeared at the same area. The patient self-treated by an unknown topical medicine from a pharmacy. The lesion grew slowly, with the appearance of many black spots and telangiectasias and became more hyper-pigmented. There was no specific history of sun or radiation exposure.
Keywords
- Hyper-pigmented papules
- Telangiectases
- Benign tumours
- Basal cell carcinoma