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Adenocarcinoma of the Face. Presented by Dr. A. A. Fisher.
L. G., a 70-year-old man, first noticed a growth in front of the left ear 10 years ago. Three years ago another growth appeared on the right cheek and one behind the left ear.
The past treatment consisted of the application of a "cancer paste" by a physician in Delaware, since deceased.
When the patient was first seen on Dec. 6, 1954, there was a 12 by 15 cm. raised, fungating mass in front of the left ear and attached to the underlying structures. The central portion was covered with a hemorrhagic crust. The edge was raised, smooth, and rounded. Behind the left ear there was an acorn-sized verrucous mass, which was freely movable. On the right cheek there was a 1 in. (2.5 cm.) long, slightly keloidal scar.
The lesion in front of the left ear received five x-ray