On January 30, 2006, this 49 yo woman presented with a somewhat sclerotic plaque on the blub of the nose. By history, this has been present for 1.5 years. A 2 mm punch biopsy was taken at the site marked X.
If this turns out to be BCC, I will refer for micrographic surgery. Does anyone feel radiotherapy is appropriate for a patient of this age?
First Biopsy showed no evedence of BCC or malignancy. Repeat biopsy taken. Here is another clinical photo:
If histology turns out to be a BCC, I would refer to a dermatologic surgeon for Mohs Surgery. Tom Rohrer MD (Chestnut Hill)is a great guy in Mohs Surgery.
ReplyDeleteHenry