Elderly patient with significant sun exposure (landscaper, farmer, etc.) with an ulcerated, shiny lesion on their chest most consistent with a squamous cell carcinoma or basal cell carcinoma
Key idea: Concerning skin lesions should be fully excised with ~3 mm margins unless the lesion is very large or in a location where complete excision may be problematic (ear, face, etc.)
An ulcerated base and a shiny, slightly raised border suggests BCC instead of SCC. Management of BCC is excisional biopsy with narrow margin (3-5 mm). If the lesion were SCC, management would be excisional biopsy with wide margin (5-10 mm).
submitted by step_prep2(18), 2020-06-08T20:16:40Z
https://step-prep.org/tutoring/