Clinical Application Questions

A 54-year-old tennis enthusiast is seen at your office for a lesion on the left side of her chin. The lesion has been present for 2 years and has increased in size about 50%. Two weeks ago, minor trauma caused bleeding and ulceration, which brought the lesion to her attention. Physical examination of the lesion reveals findings suggesting ulcerating basal cell carcinoma.

1. List the different types of basal cell carcinoma, and briefly describe the appearance of each.

2. What should you tell this patient about basal cell carcinoma?

3. Should you biopsy this lesion, and if so, how?

4. How should you treat this patient's basal cell carcinoma?

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