An 88-year-old woman sought medical attention for a nodule on the anterior surface of her left foreleg that had gradually developed.
An 88-year-old woman sought medical attention for a nodule on the anterior surface of her left foreleg that had gradually developed.
Key point: An exophytic nodule with ulceration and some element of surface hyperkeratosis in a geriatric patient is almost always malignant. A biopsy in this case disclosed well-differentiated but deeply invasive squamous cell carcinoma.
Treatment: Moh's micrographic surgery was performed to ensure complete removal. The resulting defect was quite large, but not cosmetically objectionable.
Note: Some 2500 deaths occur in the United States each year from cutaneous squamous cell carcinoma.*-
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