36 RETROAURICULAR ULCER IN A PATIENT WITH A HISTORY OF MULTIPLE SKIN CANCERS
Case Report:
A 55-year-old Caucasian male presented
to our clinic with a two-week history of
a painful sore on the right postauricular
region.
The patient had a past medical...
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36 RETROAURICULAR ULCER IN A PATIENT WITH A HISTORY OF MULTIPLE SKIN CANCERS
Case Report:
A 55-year-old Caucasian male presented
to our clinic with a two-week history of
a painful sore on the right postauricular
region.
The patient had a past medical
history of multiple non-melanoma skin
cancers including five squamous-cell carcinomas and six basal-cell carcinomas, three
of which required Mohs.
He reported
no other significant past medical history
and was on no medications.
He smoked
approximately one pack per day.
Physical examination revealed a
cachectic, 55-year-old white male with
poor hygiene.
A large (approx 4.
3x3.
5 cm),
tender, ulcerated, erythematous plaque
with impetiginized crusts and purulent
drainage was present around and within
the right retroauricular sulcus (Figure 1).
The differential diagnosis included
squamous-cell carcinoma, basal-cell carcinoma, pyoderma gangrenosum and infectious, traumatic, and factitial causes.
The patient had no medical insurance
and w
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