GP Quiz 16 – Case 1
What is this skin lesion?
Nodular basal cell carcinoma (BCC)
What are the clinical features of this condition?
- Presents as a slowly growing pearly nodule or plaque with prominent arborizing vasculature.
- Most often located on the head and neck. The inner canthus is a common site.
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Ulceration is common, hence alternative name,
rodent ulcer
.
What treatments are suitable?
Excision biopsy is recommended with a 3 to 4 mm margin. Mohs microscopically controlled surgery is indicated for recurrent, ill-defined and large tumours of the mid-face.
This quiz was also published by New Zealand Doctor in July 2005.