Atypical Spindle-Cell Neoplasm With Confusing Clinical Behavior

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A 55-year-old Caucasian man presented with a 2-year history of waxing and waning, asymptomatic left facial nodules. The patient denied facial weakness, numbness, and pain. He had no history of skin cancers, excessive ultraviolet, or radiation exposure. Recent portal vein septic phlebitis required hospitalization and resolved with intravenous antibiotics. His surgical, family, and social histories and review of systems were noncontributory.
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