Mutilating basal cell carcinoma

Sarabjit Kaur, Nidhi Jindal, VK Jain

 Department of Dermatology, Venereology and leprology Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India

Correspondence Address:
Sarabjit Kaur
House No. 401, Sector 14, Rohtak - 124 001, Haryana
India

An elderly retired school teacher presented with a neglected ulcer over his right ear of 7 years duration. It began as a nodule and gradually eroded the ear lobe. At presentation, there was a large, deep mutilating ulcer measuring about 4 Χ 4 cm almost involving the helix of the right ear. The ulcer showed indurated edges, an erythematous base and a depressed floor with hemorrhagic, crusted and necrotic material [Figure - 1]. Telangiectasia was noted just above the ulcer. Histopathological examination showed a features suggestive of basal cell carcinoma. We referred him to the plastic surgeon for reconstructive surgery.

Figure 1: Mutilating basal cell carcinoma of the helix of the right ear