This 50 Year old lady presents to her doctor with a slowly growing painless lesion on her face. The lesion is shown in the picture above. What is the most probable diagnosis?
Diagnosis: Basal Cell Carcinoma.
Basal cell carcinoma
- Usually on face/trunk: sun-exposed areas
- Pearly nodule with rolled edge
- Superficial telangiectasia
- Ulceration in advanced lesions
- Local invasion and distant metastasis (lymph nodes or hepatomegaly)
- Slowly grow over a few months
- Local invasion only, rarely metastasize
- Curettage/cryotherapy if superficial
- Surgical excision +/− radiotherapy