Nabeel Zahid Ilyas, Chris Bowles and Peter A Brennan
An 80-year-old fit male with known long-standing stable chronic lymphatic leukaemia (CLL) presented with a rapidly enlarging left neck mass. The mass invaded the neck skin and began to fungate reaching to 10 cm in less than 3 weeks. Whilst head and neck skin SCC can metastasise to the regional lymph nodes (including to the contra-lateral side) rapid growth as occurred in this case is exceptionally rare and to our knowledge has not been previously reported.
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