Recurrent systemic follicular lymphoma presenting as facial nodules

Systemic follicular lymphomas (SFL) exhibit heterogeneous clinical presentations and cutaneous involvement is rare with less than 4% of patients developing skin involvement during their disease course. We report a case of recurrent SFL presenting with facial nodules. A 64-year-old man with a history of stage IV SFL had a complete response to bendamustine and rituximab in 2012. Approximately 5 years later, the patient presented with enlarging rubbery, violaceous, nontender nodules on his left submandibular, left zygomatic, and right temple areas that appeared one month before.