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The NP is seeing a 76-year-old female patient with the lesion on her right arm that has been there for three years. She states it alternateky crusts and heals, and it begsn as a shiny papule, but now look like this. What is your working diagnosis?

Sagot :

Answer:Perform a thorough physical examination of the lesion, noting its size, shape, color, and any other distinguishing characteristics.

Dermatoscopic examination to look for specific features of BCC.

Biopsy of the lesion for histopathological examination to confirm the diagnosis.

Other potential differential diagnoses to consider could include:

Squamous cell carcinoma (SCC): Another type of skin cancer that can present similarly but usually has a different growth pattern and may have a more scaly or keratotic surface.

Actinic keratosis: A precancerous lesion that can evolve into SCC and may present as a crusting or scaling lesion.

Seborrheic keratosis: A benign skin growth that can sometimes mimic the appearance of BCC but usually has a more waxy, stuck-on appearance.

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