患者女,76岁。因面部结节、溃疡及结痂7年余,于2015年1月9日来我院就诊。患者7年余前无明显诱因右眼睑下方出现3个黄豆大褐黑色结节,逐渐增大、破溃、表面结痂,边缘隆起、卷曲及不规则,1年内相互融合成1.5 cm×3.0 cm斑块,无明显自觉症状,到当地医院就诊(具体诊断不详),给予外用药物治疗(具体药物不详),但无明显好转,溃疡逐渐扩大,3年前于鼻背部及左侧面部出现2个黄豆大褐黑色结节,中央凹陷、萎 Female patient, 76 years old. Due to facial nodules, ulcers and scab more than 7 years, in January 9, 2015 to our hospital. The patient had no obvious incentive for more than 7 years. There were 3 large brown nodules in the right eyelid below the right eyelid, which gradually increased, ruptured, surface crusted, margin raised, curled and irregularly fused into 1.5 cm × 3.0 cm Plaques, no obvious symptoms, to the local hospital (specific diagnosis is unknown), given topical drug treatment (specific drugs unknown), but no significant improvement, ulcers gradually expanded, 3 years ago in the nasal back and left facial 2 Soybean large brown nodules, central depression, wilt