A 64-year-old male presented with a 5-year history of an enlarging right cheek mass. He reported that the lesion was not bothersome at first but that it had been growing slowly over time. He presented because the mass had grown so much in size that it was obscuring his inferior visual field to the point that he was unable to see beneath his cheek on the right side. He denied numbness or tingling of the face, facial pain, weight loss, or difficulty chewing. He had no other bumps or masses and no other complaints.
His past medical history was significant for hypertension, hyperlipidemia, coronary artery disease with three myocardial infarctions and percutaneous coronary artery stenting, and an inguinal hernia repair. He walked with crutches for a left ankle fracture that he sustained as a youth. He was a previous cigar smoker but denied alcohol or illicit drug use. His father had BCC of…
