The lesion in question has been present for a few months. It is an almost 5 cm in diameter exophytic tumor.
Diagnosis: Probable Squamous Cell Carcinoma.
I anesthetized the lesion and shaved it off. There was a fair amount of bleeding. I curretted it and cautrized the base. It was not as soft as a typical SCC or BCC. Specimen submitted and I'll attach a follow-up with the path.
Pathology: Well-differentiated squamous cell carcinoma
This is a particularly good example of the "Positive-Band Aid" sign. Most of us know this, but it has not been well-reported in the literature. We presented this sign on the VGRD Blog in 2007.
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