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Ulceration on the face of 54 year old woman

Help woman

This is a sad case of 54yr old woman who developed a small ulcer on the face 4 yrs ago. She thought the ulcer will go away without medical intervention.

Unfortunately the ulcer continued to grow eating deep into the inner layers of the skin and extending to the ear. At time of presentation to HIMM clinic the raw appearing ulceration has covered one side of the ear that has caused her unilateral hearing loss. This is highly suspicious of malignant tumor. She needs further work up and treatment to save her life. Can you help her?

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