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Punch Biopsy Required for Superficial Basal Cell Carcinoma
A 40-year-old man sought advice regarding therapeutic options for an asymptomatic, “red spot” on the flank. Review of systems was entirely negative.
A 40-year-old man sought advice regarding therapeutic options for an asymptomatic, “red spot” on the flank. Review of systems was entirely negative. Family history was strongly positive for non-melanoma skin cancers.
Key point: There is no way to accurately diagnose this small, non-descript lesion by observation alone. A 2 mm punch biopsy revealed superficial basal cell carcinoma.
Treatment: Imiquimod 5% cream was applied at bedtime 5 days weekly for 6 weeks. The lesion cleared clinically by the end of this course.
Note: The differential includes both benign entities which can be ignored (eg, lichenoid keratoses) and malignancies that require more vigorous intervention (eg, squamous cell carcinoma in-situ.
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.
