Table 1.

Differential diagnosis between sclerotic fibroma and keloid scar

	Sclerotic fibroma	Keloid scar
Preferred site	Face, extremity, trunk	Earlobe, presternal, deltoid region
Presentation	Slow-growing flesh-colored papule or nodule with firm, yellow-tan surface	Mass like lesion or scar that grows beyond original wound
Prognosis	Excellent, rarely local recur	Persistence and recurrence are common
Pathology	Thin collagen bundles in a storiform pattern	Thick collagen bundles in a ripple-like pattern
	Prominent clefts between collagen bundles	No clefts
	Usually hypocellular	Usually hypercellular