Clinical Images of Basal Cell Carcinoma of Occipital Region and Right Ear Lobe in an Adult Male: Common Yet Uncommon

A 75-year-old male patient, a farmer residing in a rural area, presented to the outpatient department with primary complaints of a localised swelling over the right side of the occipital region and right earlobe posteriorly. The swelling has been present for 12 months, has gradually increased in size and is not associated with pain. The patient had no family history of similar symptoms, no history of prior surgical intervention, and no significant medical history. Upon inspection, the swelling was found to be nodulocystic, well-circumscribed, and scaly, measuring about 6×6 cm in size with warmth, blanching erythema, dilated vessels, and scabs over the surface [Table/Fig-1a]. The smaller swelling present on the right earlobe posteriorly measuring around 1×1 cm was also found to be nodulocystic [Table/Fig-1b]. There was no lymphadenopathy present over the neck.