Inverted follicular keratosis mimicking Basal cell carcinoma - A Case report and Review of literature

Title Inverted follicular keratosis mimicking Basal cell carcinoma A case report and Review of literature. Objective Skin tumours are a challenging group of conditions that can be categorized into those that are commonly seen and easily recognised. But in certain clinical scenarios the diagnosis can be misleading causing unnecessary apprenhension and over treatment. In the current article we would like to present one such case where in the lesion clinically simulated malignancy.Case description A 76 year old lady presented with a history of swelling in the left cheek for the last 2 years. The swellings were clinically diagnosed to be Basal cell carcinoma for which she underwent excision biopsy with cheek advancement flap cover. Post operatively she did not have any complications. On HPE, the lesion was diagnosed as Inverted follicular keratosis. Case Discussion Inverted follicular keratosis is a benign, asymptomatic, solitary skin lesion, which typically presents in middle aged or older patients, with median age at presentation of 69 year. It is seen mostly on the face with a clinical resemblance to malignancy. Hence it should be carefully evaluated upon and treated with caution to avoid unnecessary aggressive excision that can lead to cosmetic deformity and apprehension among patients.