Recurrent atypical fibroxanthoma of the cheek

We report a case of recurrent atypical fibroxanthoma (AFX) of the preauricu lar area that recurred after Mohs micrographic surgery. AFX is a benign cut aneous fibrohistiocytic tumor that is most commonly found in elderly patien ts. Although these tumors are benign, they may mimic spindle cell carcinoma , squamous cell carcinoma, and melanoma on histologic examination. AFX tumo rs rarely recur or metastasize. Wide excision is recommended for the achiev ement of the best results.