TY - JOUR AU - Lally, A. AB - Image Correspondence Image Gallery: Neglected skin cancer in an best interests of a patient, and a symptomatic/palliative elderly patient with cognitive impairment approach can be reasonable. DOI: 10.1111/bjd.18542 N. Kearney iD , C. Gallagher iD and A. Lally Department of Dermatology, St Vincent’s University Hospital Dublin, Ireland DEAR EDITOR, A 95-year-old man with severe dementia pre- E-mail: nkearne@tcd.ie sented to the emergency department following a fall. He was noted to have a 15 9 12-cm plaque across the right forehead. This had been growing slowly for 5 years and his carers had not sought medical attention as the lesion caused no distress. References Biopsy demonstrated a poorly differentiated squamous cell car- 1 Kim JYS, Kozlow JH, Mittal B et al. Guidelines of care for the man- cinoma, and computed tomography demonstrated aggressive agement of cutaneous squamous cell carcinoma. J Am Acad Dermatol destruction of the frontal bone. 2018; 78:560–78. Following multidisciplinary input, we did not pursue treat- ment. In our ageing population, we increasingly need to Funding sources: none. balance risks and benefits of disease management with comor- bidities and life expectancy. Treatment is not always in the Conflicts of interest: none to declare. © 2020 British Association of TI - Image Gallery: Neglected skin cancer in an elderly patient with cognitive impairment JO - British Journal of Dermatology DO - 10.1111/bjd.18542 DA - 2020-03-01 UR - https://www.deepdyve.com/lp/oxford-university-press/image-gallery-neglected-skin-cancer-in-an-elderly-patient-with-2BsJ3a2Rz0 SP - e87 EP - e87 VL - 182 IS - 3 DP - DeepDyve ER -