A 61-year-old male presented with a fungating ulcer over his left inferior peri-orbital region. The tumour first started 10 years ago as a small lesion on his lower eyelid and over the last 2 years, it had grown rapidly, causing a loss of vision of the left eye. He otherwise was systemically well. Clinical examination revealed a large ulcer with irregular, raised borders and impetiginisation (yellow crusting) evident at its superior margin (Fig.1).
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