An 80-year-old woman presented with a slowly enlarging, intermittently painful lesion on the upper part of her right ear. It had been present for 2 years. On examination, there was a discrete, firm, translucent papule, 7 · 4 mm in size, on the posterior aspect of the upper crus of the antihelix of the right ear. A single prominent blood vessel was visible on the surface of the lesion and it was tender to palpation ( Fig. 1).
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