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A 71 year old man with a facial lesion
  1. M Saab
  1. Department of Accident and Emergency Medicine, Bury General Hospital, Walmersley Road, Bury BL9 6PG, UK
  1. Dr Saab

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Answers on p 724.

A 71 year old man (fig1) was brought into the accident and emergency department by his two daughters. He had had a lesion on the left side of his face for five years and has refused to see a doctor. The lesion had become progressive over the past year and he was finally persuaded to seek medical attention.

Figure 1

Facial lesion (reproduced with the patient's permission).

Questions

(1)
What is the diagnosis?
(2)
Discuss treatment for this condition

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