History:

A dome-shaped, skin-coloured, about 2 cm diameter, asymptomatic nodule with surface telangiectasia in the center of the right cheek of more than one year duration. On clinical background, the main two differential diagnoses were epidermoid cyst and giant mulloscum contagiosum.  The lesion has been removed in toto under local anesthesia and found to be an epidermoid cyst.