BACKGROUND. Bilateral squamous cell carcinoma (SCC) of the external ears is a rare phenomenon, and we are unaware of instances of bilateral perineural involvement. OBJECTIVE. To describe bilateral auricular SCCs, each with perineural invasion. METHODS. Case report and literature review. RESULTS. Histopathologic examination revealed perineural invasion in both tumors. CONCLUSION. This appears to be an unusual presentation of bilateral auricular SCCs with perineural invasion in an elderly immunocompromised patient.
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