“…The treatment of choice dermatomyofibroma is surgical excision, with an excellent prognosis. 1 - 3 , 5 , 6 , 8 , 9 However, in our patient, surgical excision resulted in keloid scarring, followed by pain, pruritus and considerable cosmetic disfigurement ( Figure 5 ). Therefore, we opted to follow the other lesions clinically as an alternative to surgical excision, temporarily avoiding a worse cosmetic outcome in the area.…”