Skin cancer is predominantly a disease of the elderly and accounts for about 53% of all deaths in those more than 65 years old in Whites. Although it classically presents as a solitary painless nonhealing ulcer, varied presentations as plaques, nodules and warty lesions are not rare. Herein we report a case of an otherwise healthy elderly female with cutaneous squamous cell carcinoma (SCC) which presented as multiple, slowly enlarging painless non-ulcerated skin nodules localized to the anteromedial aspect of right leg. We wish to highlight that uncharacteristic presentations of cutaneous SCC may occur even in immunocompetent individuals.
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