Jc. Santosopham et al., AGGRESSIVE GIANT KERATOACANTHOMA OF THE FACE TREATED WITH INTRAMUSCULAR METHOTREXATE AND TRIAMCINOLONE ACETONIDE, Cutis, 59(6), 1997, pp. 329-332
Keratoacanthoma is a common skin tumor characterized by rapid growth o
f a smooth dome-shaped nodule with a central plug of keratin, usually
followed by spontaneous involution. We report the case of a giant kera
toacanthoma on the face that continued to spread peripherally for seve
ral months despite vigorous therapeutic intervention. Treatment with m
ethotrexate (25 mg intramuscularly) and Kenalog(R) (triamcinolone acet
onide, 40 mg intramuscularly) weekly finally slowed and stopped the ex
panding, deforming tumor growth and induced involution.