Despite growing public skin cancer awareness and access to free healthcare in the UK, somehow this man still managed to grow something on his back that rather disturbingly resembled a dragon’s horn.

The burgeoning lesion had been present on the 50-year-old labourer’s lower back for three years, but he had none of the usual risk factors — no significant sun exposure, no previous or family history of skin malignancy and was not immunosuppressed; he was, however, a smoker.