This 48 yo woman presented with a 2 year history of a tumor of the upper lip.
She has type III skin. The lesion in question is 6 mm in diameter.
A biopsy was done. This looks like a pigmented sclerotic basal cell.
She has a sick child and delayed her dermatology visit because she must take son to physicians often.
It's a three hour trip for him. He is 15 years old and has had polycythema rubra vera and essential thrombocythemia since age eight.
Yes, it is pigmented BCC.It is the commonest varient in Iraq.In a study carried out,we noticed that skin cancers of the face commonly occur in non-wrinkled face as observed in this caes.So wrinkling of the face is protective mechanism against face cancers especially SCC.This is going to be published soon.The favoured trearment for this patient is complete excision
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