During a routine exam, you notice a 5 mm lesion on the right medial cheek. The border is raised and pearlescent in color and the area is crusted
The patient admits that it has been present for several months and has only recently become tender with the development of the crusting. This is most likely:
A. Squamous cell carcinoma
B. Epidermoid cyst
C. Basal cell carcinoma
D. Actinic keratosis
ANS: C
Basal cell carcinoma is the most common form of human malignancy and involves sun-exposed skin. This malignancy is generally very slow growing. However, it can become quite destructive and invasive if not diagnosed and treated in a timely manner. The typical complaint is of a nonhealing sore located on the face, ear, or other sun-exposed area. Although the lesions can vary, the typical lesion has a waxy/pearly appearance with a central indentation.
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