The rodent, the Hedgehog, and the man with nosocomephobia

A 71-year-old Caucasian gentleman presented in 2004 with a basal cell carcinoma (BCC) on his right cheek. A wide excision was arranged but was rescheduled and subsequently cancelled by the patient. He was noted to have a severe hospital phobia (nosocomephobia) related to childhood experiences concerning medical care of his parents. He declined all efforts to provide treatment and accepted the consequences. He represented 12 years later with a large tumor involving his right cheek, nose and sight threating eyelid involvement.