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Basal Cell Carcinoma on Forehead of a 78-Year-Old Man
A 78-year-old man sought medical attention after noting a non-tender, subtle “hole” in his forehead. The firm lesion was asymptomatic.
A 78-year-old man sought medical attention after noting a non-tender, subtle “hole” in his forehead. The firm lesion was asymptomatic. Personal past history was positive for non-melanoma skin cancer.
Key point: While uncommon, basal cell carcinoma (BCC) can be embedded in a heavily fibrotic stroma; this is called morphea-like BCC. Such tumors may present with a greater degree of firmness and some degree of atrophy. In this case, the fibrous stroma was pulling down the overlying epidermis, making a “dent” in the skin. A biopsy confirmed the diagnosis.
Treatment: The BCC was removed by Moh’s micrographic surgery.
Note: This BCC lacks the pearly, telangiectatic morphology of a typical nodular BCC.
Biden Administration Announces First 10 Prescription Drugs Slated for Price Negotiations
August 29th 2023The first 10 drugs identified for negotiations under the Inflation Reduction Act include several well advertised agents indicated to treat diabetes, heart failure, and other chronic diseases.
