01328nas a2200205 4500000000100000008004100001260001200042653002600054653001200080653001300092100001800105700002100123700001400144700001600158245009900174300001200273490000700285520081600292022001401108 2019 d c01/201910aCarcinoma, basal cell10aleprosy10aMelanoma1 aBraghiroli CS1 aParise-Fortes MR1 aMarques M1 aLastória J00aLepromatous leprosy, melanoma, and basal cell carcinoma: clinical-histopathologic association. a586-5890 v943 a

Cutaneous neoplasms frequently occur in leprosy, but there are few reports of the coexistence of leprosy and basal cell carcinoma in the same lesion. This case reports a 49-year-old male with an ulcerated plaque on the right lateral nasal wall, bright papules on the sternal region, and a blackened plaque on the right temporal region. The nasal and temporal lesions were diagnosed by histopathology as basal cell carcinoma and melanoma, respectively. The sternal lesions were excised with the repair of the "dog ear" which histopathological examination showed macrophages in the dermis parasitized with acid-fast bacilli, confirming the diagnosis of lepromatous leprosy with Fite-Faraco staining. This case report highlights the importance of referring the dog-ear specimen for histopathologic analysis.

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