A 61‐year‐old man of European ancestry (Fitzpatrick skin type II) presented with five large fungating lesions (Box 1). These tumours had been progressively growing over a 12‐month period. The presentation of this patient was delayed as he had initially misattributed the lesions to ingrown hairs. He had no personal or family history of melanoma or non‐melanoma skin cancers. He had no personal medical history of autoimmune conditions, recurrent infections, or immunosuppression.
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