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NBME 20 Answers

nbme20/Block 4/Question#14 (reveal difficulty score)
A 60-year-old man has a round, ...
Basal cell carcinoma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: skin_cancer

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 +7  upvote downvote
submitted by โˆ—sympathetikey(1600)
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I believe the biopsy description of "small basophillic cells forming tumor islands" is describing the peripheral palisading that is classically seen in Basal cell carcinoma.

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 +5  upvote downvote
submitted by โˆ—usmleuser007(464)
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All other types are either pigmented or have scales. -- process of elimination

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 +3  upvote downvote
submitted by โˆ—almondbreeze(110)
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'round, semitransparent nodules'

FA2019 p.473 says BCCs are waxy, pink, pearly nodules

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 +1  upvote downvote
submitted by blanee1380(4)
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Basal cell carcinoma is characterized by nests of basal cells (tumor islands), surrounded by clear spaces (clefting, the white artifact) and extends across the BM (carcinoma)

http://www.pathologyoutlines.com/topic/skintumornonmelanocyticbcc.html

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lovebug  thanks so much! +



 -12  upvote downvote
submitted by โˆ—step1soon(51)
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Anything upper lip + above โ†’ basal cell carcinoma

Anything lower lip โ†’ Squamous cell carcinoma

FA 2019 -pg 473

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adong  it's saying upper vs lower lip. this pt has it on the nose +4



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