67-year-old male, skin lesion on his left canthus region.  The skin lesion has been there for almost 10 years, but recently the patient noticed fast growing and it is itching and discomfort and sometimes bleeds after scratching. 

There is skin lesion about 2 x 2 cm located on the left side between the medial canthus and the nasal bridge.  The lesion is rough on the surface and there is some kind of small amount of the bloody crust noticed, but this lesion itself is very mobile.  It seems to only involve the skin.

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Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Photo: Zenggang Pan

Discussion: Zenggang Pan