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Figure 1: A large ulcer of 6 cm × 4 cm size with well defined, irregular, rolled out borders and fl eshy fl oor over left breast. Furthermore, note another coalescing small ulcerated plaque with hyperpigmented periphery, sparing the areola/nipple. The ill-defi ned swelling in the left axilla is due to the enlarged lymph node

Figure 1: A large ulcer of 6 cm × 4 cm size with well defined, irregular, rolled out borders and fl eshy fl oor over left breast. Furthermore, note another coalescing small ulcerated plaque with hyperpigmented periphery, sparing the areola/nipple. The ill-defi ned swelling in the left axilla is due to the enlarged lymph node