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Cheek Started Shrinking Inside, Looks Like Bruise. Planning For Biopsy. Any Suggestion?

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Posted on Thu, 25 Apr 2013
Question: My husbands cheek suddenly sunk like a finger was pushing it in and looks dark or bruised. Dentist found nothing dental about it but does see a dark spot above his mandible where it is sunken in. A biopsy is planned. What could it be?
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Answered by Dr. Praveen Rodrigues (4 hours later)
Hi there.
I read your history & note the issue at hand.
It could just be a condition called erythema induratum or a hematoma arising out of a cheek bite that was innocuous but left behind a puckered scarring; morphea is a condition that merits mention.
However, i must stress that this requires to look at the person in toto. Going by your history of phaeochromoctoma & prostratic issues, one needs to be careful to rule out any underlying systemic disorder. This however seems unlikely & you can rest assured this is an isolated local phenomenon.
I think your approach of doing the skin biopsy is the 'right' one & an excision of the lesion will give you a clear cut picture. Good Luck & GodSpeed!
Dr Praveen Rodrigues MD
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Praveen Rodrigues

Dermatologist

Practicing since :1993

Answered : 1193 Questions

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Cheek Started Shrinking Inside, Looks Like Bruise. Planning For Biopsy. Any Suggestion?

Hi there.
I read your history & note the issue at hand.
It could just be a condition called erythema induratum or a hematoma arising out of a cheek bite that was innocuous but left behind a puckered scarring; morphea is a condition that merits mention.
However, i must stress that this requires to look at the person in toto. Going by your history of phaeochromoctoma & prostratic issues, one needs to be careful to rule out any underlying systemic disorder. This however seems unlikely & you can rest assured this is an isolated local phenomenon.
I think your approach of doing the skin biopsy is the 'right' one & an excision of the lesion will give you a clear cut picture. Good Luck & GodSpeed!
Dr Praveen Rodrigues MD