An 83-year-old woman presented with an asymptomatic large cutaneous tumoral lesion on the right temple. She referred it appeared 12 years ago and grew progressively, invading the orbital tissue. Since her husband died 25 years ago, she had been living alone with no social life. As the lesion was asymptomatic, she never visited a medical
clinic. Physical examination revealed a partially ulcerated vegetating mass (Fig. 1) with small necrotic areas, measuring 15 cm by 12 cm, which easily dripped serum and blood. The mass was warm to the touch and non-tender. Perilesional skin showed no alterations. There was no evidence of lymph node involvement.
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