Overlooked Lesion?

December 31, 2006

In his Photoclinic case of a man with a nevus verrucosus on his temple (CONSULTANT,April 15, 2003, page 637), Dr Robert Blereau notes that there were alsoother lesions on the patient’s face, including actinic keratoses and inclusion cysts.

In his Photoclinic case of a man with a nevus verrucosus on his temple (CONSULTANT, April 15, 2003, page 637), Dr Robert Blereau notes that there were also other lesions on the patient’s face, including actinic keratoses and inclusion cysts. It appears that he may also have a typical nodular basal cell carcinoma on the bridge of the nose near the medial aspect of the orbit (Figure1).

- John Coon, MD
    Clinical Professor of Family and Community Medicine
    University of Illinois College of Medicine
    Peoria

You are correct. The nodular lesion at the bridge of the nose (Figure 2) was recently excised and in fact was a nodular basal cell carcinoma. The patient said it had been present for “at least 20 to 30 years” and had never changed in size or ulcerated. Because of the lesion’s location, it was removed by shave biopsy in the office with lidocaine anesthesia. The base was electrodessicated as well. The patient will be followed closely for any sign of recurrence.

- Robert P. Blereau, MD
   Morgan City, La